NPIMap

Individual provider Active NPI

Harry Werner

  • Family Medicine Physician
  • Monroe, NC
National Provider Identifier
1366442733
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-02352 Issued in NC
Practice address
1995 Wellness Blvd
Ste 110, BLDG B
Monroe, NC 28110-7769
Phone
(704) 384-1140
Fax
(704) 384-1141
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 174873 NY
Sports Medicine (Family Medicine) Physician 207QS0010X 174873 NY
Family Medicine Physician 207Q00000X 2012-02352 NC Primary

Addresses

Primary practice location

1995 Wellness Blvd
Ste 110, BLDG B
Monroe, NC 28110-7769

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1140

Other identifiers 1

IdentifierTypeStateIssuer
1117519MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwerner39885@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130628000786 NC Practitioner - Family Practice 5597808758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLC 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

Hospital & facility affiliations

  • Atrium Health at Home Union Home health agency, Monroe, NC, CCN 347210
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jun 1, 2013 Accepting new patients
United Medical Associates PC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 1, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

1918 Randolph Rd
Ste 175
Charlotte, NC 28207
Phone (704) 316-1050

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1995 Wellness Blvd
Ste 110
Monroe, NC 28110
Phone (704) 316-3030

1995 Wellness Blvd
Ste 210
Monroe, NC 28110
Phone (704) 384-1140

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

Interoperability endpoints

  • Direct secure messaging: hwerner39885@direct.novanthealth.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1366442733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1140",
            "fax_number": "704-384-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 WELLNESS BLVD",
            "address_2": "STE 110, BLDG B",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107769",
            "telephone_number": "704-384-1140",
            "fax_number": "704-384-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "HARRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "174873",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "174873",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-02352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117519",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwerner39885@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1995 Wellness Blvd",
            "address_2": "Ste 110, Bldg B",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281107769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.