Individual provider Active NPI

Ann Elizabeth Pittoni Condon, MD

  • Pediatrics Physician
  • Denver, NC
National Provider Identifier
1366502452
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2007-01867 Issued in NC
Practice address
269 Gillman Rd Ste 200a
Denver, NC 28037-7922
Phone
(704) 316-5287
Fax
(704) 316-5268
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2007-01867 NC Primary

Addresses

Primary practice location

269 Gillman Rd Ste 200a
Denver, NC 28037-7922

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-2312

Other practice location 1

705 Griffith St
Suite 100
Davidson, NC 28036-9305
Phone (704) 801-7900

Other practice location 2

269 Gillman Rd Ste 100
Denver, NC 28037-7919
Phone (704) 704-3165

Other practice location 3

8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone (704) 316-2312

Other identifiers 2

IdentifierTypeStateIssuer
5910292MedicaidNC
1366502452MedicaidNC

Other names 1

  • Dr. Ann E Condon Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apittonicondon497091@direct.novanthealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000660 NC Practitioner - Pediatric Medicine 6800964438 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Pediatrics CurrentSince Oct 9, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 9, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

269 Gillman Rd
Ste 200A
Denver, NC 28037
Phone (704) 316-5287

269 Gillman Rd
Ste 100
Denver, NC 28037
Phone (704) 316-4930

10305 Hamptons Park Dr
Ste 101
Huntersville, NC 28078
Phone (704) 316-5388

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

Interoperability endpoints

  • Direct secure messaging: apittonicondon497091@direct.novanthealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1366502452",
    "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": "704-316-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GILLMAN RD STE 200A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377922",
            "telephone_number": "704-316-5287",
            "fax_number": "704-316-5268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Griffith St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Davidson",
            "state": "NC",
            "postal_code": "280369305",
            "country_code": "US",
            "telephone_number": "704-801-7900",
            "fax_number": "704-892-3889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Gillman Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280377919",
            "country_code": "US",
            "telephone_number": "704-704-3165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 Healthcare Loop",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282157069",
            "country_code": "US",
            "telephone_number": "704-316-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTONI CONDON",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2007-01867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910292",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366502452",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apittonicondon497091@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "705 Griffith St",
            "address_2": "Suite 100",
            "city": "Davidson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280369305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "CONDON",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.