Individual provider Active NPI

Hannah Mulliken Whitesides, FNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1376280198
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022127 Issued in NC
Practice address
13425 Hoover Creek Blvd Ste 100
Charlotte, NC 28273-0170
Phone
(704) 316-2080
Fax
(704) 316-2085
NPI assigned
May 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 25816 SC
Nurse Practitioner 363L00000X 5022127 NC Primary

Addresses

Primary practice location

13425 Hoover Creek Blvd Ste 100
Charlotte, NC 28273-0170

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

5133 Rivers Ave
N Charleston, SC 29406-6338
Phone (843) 789-1786

Other identifiers 1

IdentifierTypeStateIssuer
NP8543MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hannah.whitesides@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220922000431 SC Practitioner - Nurse Practitioner 7810372141 Reassigns benefits to 2 organizations
I20250829000594 NC Practitioner - Nurse Practitioner 7810372141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

13425 Hoover Creek Blvd
Suite 100
Charlotte, NC 28273-0054
Phone (704) 316-2080

Hospital & facility affiliations

  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Jul 14, 2024 Accepting new patients
Roper Hospital Inc. CurrentSince Jul 5, 2022 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jul 14, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Hospital, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 11, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 11, 2025 Accepting new patients

Locations

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

5815 Blakeney Park Dr
Ste 200B
Charlotte, NC 28277
Phone (704) 316-5080

13425 Hoover Creek Blvd
Ste 100
Charlotte, NC 28273
Phone (704) 316-2080

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

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

125 Doughty St
Ste 280
Charleston, SC 29403
Phone (843) 577-6957

1481 Tobias Gadson Blvd
Ste 1
Charleston, SC 29407
Phone (843) 402-0367

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

5133 Rivers Ave
North Charleston, SC 29406
Phone (843) 789-1786

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: hannah.whitesides@rsfpp.eclinicaldirectplus.com
  • Direct secure messaging: hwhitesides1721369@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1376280198",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 HOOVER CREEK BLVD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730170",
            "telephone_number": "704-316-2080",
            "fax_number": "704-316-2085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5133 Rivers Ave",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294066338",
            "country_code": "US",
            "telephone_number": "843-789-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITESIDES",
        "first_name": "HANNAH",
        "middle_name": "MULLIKEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "25816",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP8543",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hannah.whitesides@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "1481 Tobias Gadson Blvd Ste 1",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294074879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.