Individual provider Active NPI

Sharmetris K Watkins, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1376979369
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006426 Issued in NC
Practice address
15830 Ballantyne Medical PL
Suite 275
Charlotte, NC 28277-4653
Phone
(704) 542-0744
Fax
(704) 543-7713
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5006426 NC
Nurse Practitioner 363L00000X 5006426 NC Primary

Addresses

Primary practice location

15830 Ballantyne Medical PL
Suite 275
Charlotte, NC 28277-4653

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 542-0744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swatkins95655@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140214000749 NC Practitioner - Nurse Practitioner 3072742006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

15830 Ballantyne Medical PL
Suite 275
Charlotte, NC 28277-4791
Phone (980) 302-8659

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5006426NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services, LLC CurrentSince Dec 20, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 23, 2019 Accepting new patients
Novant Medical Group Inc CurrentSince Mar 13, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 23, 2019 Accepting new patients
NMG Health Services LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NMG Health Services, LLC CurrentSince Dec 20, 2022 Accepting new patients

Locations

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (980) 302-8659

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

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

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

Interoperability endpoints

  • Direct secure messaging: swatkins95655@direct.novanthealth.org

Organizations & group practices 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1376979369",
    "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": "704-542-0744",
            "fax_number": "704-543-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL",
            "address_2": "SUITE 275",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774653",
            "telephone_number": "704-542-0744",
            "fax_number": "704-543-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SHARMETRIS",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5006426",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swatkins95655@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "15830 Ballantyne Medical Pl",
            "address_2": "Suite 275",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282774653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.