Active NPI
Collin Wright, PA
- Physician Assistant
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05297
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386044527 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NH Digital Health Services, LLC | Current | Accepting new patients | |
| NH Digital Health Services, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc | Current | 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
- 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Foot & Ankle Surgery Podiatrist
- Thomasville, NC
- NPI 1235715582
-
- Foot Surgery Podiatrist
- Clemmons, NC
- NPI 1295110906
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Foot Surgery Podiatrist
- Kernersville, NC
- NPI 1386029254
-
- Primary Podiatric Medicine Podiatrist
- Winston Salem, NC
- NPI 1427398023
-
- Neurological Surgery Physician
- Winston Salem, NC
- NPI 1497080006
-
- Family Medicine Physician
- Wake Forest, NC
- NPI 1659571768
-
- Family Medicine Physician
- Salisbury, NC
- NPI 1750534038
-
- Foot Surgery Podiatrist
- Winston Salem, NC
- NPI 1851776728
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1891764320
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
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
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
- Novant Health Huntersville Medical Center
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.