Individual provider Active NPI

Beverly Ann Vanessa Belle, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1427050889
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9800468 Issued in NC
Practice address
1901 E 5TH St
Charlotte, NC 28204-2429
Phone
(980) 367-4363
Fax
(704) 384-1644
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 9800468 NC
Obstetrics & Gynecology Physician 207V00000X 9800468 NC Primary

Addresses

Primary practice location

1901 E 5TH St
Charlotte, NC 28204-2429

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 367-4363

Other practice location 1

1718 E 4th St
Suite 707
Charlotte, NC 28204-3261
Phone (704) 316-5270

Other practice location 2

14330 Oakhill Park Ln Ste 200
Huntersville, NC 28078-3407
Phone (704) 316-4830

Other practice location 3

8201 Healthcare Loop Ste 302
Charlotte, NC 28215-7072
Phone (704) 316-2319

Other practice location 4

6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Phone (980) 367-4363

Other identifiers 1

IdentifierTypeStateIssuer
8911575MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbelle15888@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
I20080429000138 NC Practitioner - Obstetrics/Gynecology 4183702327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

12611 N Community House Rd
Charlotte, NC 28277-3816
Phone (704) 316-1495

1718 E 4TH St
Suite 201
Charlotte, NC 28204-3194
Phone (704) 384-0560

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800468NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 9, 2015 Accepting new patients
Novant Medical Group CurrentSince Feb 24, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Medical Group Inc Obstetrics & Gynecology CurrentSince Jun 1, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 9, 2015 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

12611 N Community House Rd
Charlotte, NC 28277
Phone (704) 316-1495

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

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

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

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

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

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 7

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1427050889",
    "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": "980-367-4363",
            "fax_number": "704-316-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 5TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042429",
            "telephone_number": "980-367-4363",
            "fax_number": "704-384-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E 4th St",
            "address_2": "Suite 707",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043261",
            "country_code": "US",
            "telephone_number": "704-316-5270",
            "fax_number": "704-633-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14330 Oakhill Park Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783407",
            "country_code": "US",
            "telephone_number": "704-316-4830",
            "fax_number": "704-316-4831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Healthcare Loop Ste 302",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282157072",
            "country_code": "US",
            "telephone_number": "704-316-2319",
            "fax_number": "704-316-2321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6331 Carmel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268286",
            "country_code": "US",
            "telephone_number": "980-367-4363",
            "fax_number": "704-316-2558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELLE",
        "first_name": "BEVERLY",
        "middle_name": "ANN VANESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "9800468",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9800468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911575",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbelle15888@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1718 E 4th St",
            "address_2": "Suite 707",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.