Individual provider Active NPI

Collin Wright, PA

  • Physician Assistant
  • Mooresville, NC
National Provider Identifier
1386044527
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05297 Issued in NC
Practice address
106 Langtree Village Dr Ste 200
Mooresville, NC 28117-7594
Phone
(704) 384-7101
Fax
(704) 384-7101
NPI assigned
Aug 25, 2014
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05297 NC Primary

Addresses

Primary practice location

106 Langtree Village Dr Ste 200
Mooresville, NC 28117-7594

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

650 Julian Rd
Salisbury, NC 28147-9078
Phone (704) 637-3373

Other practice location 2

130 Plantation Ridge Dr Ste 100
Mooresville, NC 28117-9238
Phone (704) 316-1635

Other identifiers 1

IdentifierTypeStateIssuer
1386044527MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CWRIGHT194301@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
I20141213000222 NC Practitioner - Physician Assistant 8325360753 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 15, 2014 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 15, 2014 Accepting new patients
Novant Medical Group, Inc CurrentSince Oct 15, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

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

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

14330 Oakhill Park Ln
Ste 200B
Huntersville, NC 28078
Phone 7043161265 ext. 6856

130 Plantation Ridge Dr
Ste 100
Mooresville, NC 28117
Phone (704) 316-1635

106 Langtree Village Dr
Ste 200
Mooresville, NC 28117
Phone (704) 316-5570

650 Julian Rd
Salisbury, NC 28147
Phone (704) 210-7037

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

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

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

Interoperability endpoints

  • Direct secure messaging: cwright194301@direct.novanthealth.org

Organizations & group practices 22

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 22

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLC 2,413 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 200
Mooresville, NC 28117-7571
Phone (704) 316-1120

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1386044527",
    "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": "106 LANGTREE VILLAGE DR STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177594",
            "telephone_number": "704-384-7101",
            "fax_number": "704-384-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Julian Rd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281479078",
            "country_code": "US",
            "telephone_number": "704-637-3373",
            "fax_number": "704-637-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Plantation Ridge Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179238",
            "country_code": "US",
            "telephone_number": "704-316-1635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "COLLIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386044527",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CWRIGHT194301@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "650 Julian Rd",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281479078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.