NPIMap

Individual provider Active NPI

Trevor Robert Allison, M.D.

  • Family Medicine Physician
  • Salisbury, NC
National Provider Identifier
1437145604
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200100635 Issued in NC
Practice address
401 Mocksville Ave
Suite 200
Salisbury, NC 28144-2735
Phone
(704) 637-1123
Fax
(704) 637-1214
NPI assigned
Sep 23, 2005
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200100635 NC Primary

Addresses

Primary practice location

401 Mocksville Ave
Suite 200
Salisbury, NC 28144-2735

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 637-1123

Other identifiers 1

IdentifierTypeStateIssuer
89129W1MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tallison14874@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001680 NC Practitioner - Family Practice 2264418912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1998
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)

316 W Main St
Rockwell, NC 28138-8471
Phone (704) 279-1046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200100635NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Jan 12, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2004 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 1, 2004 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients
Novant Medical Group, Inc. Family Medicine Past Accepting new patients
Novant Medical Group Inc Family Medicine Past Accepting new patients

Locations

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

3149 Freedom Dr
Charlotte, NC 28208
Phone (980) 302-9405

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

1965 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611

964 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 384-7310

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

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

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

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 316-1886

7110 Lawyers Rd
Mint Hill, NC 28227
Phone (704) 537-0020

316 W Main St
Rockwell, NC 28138
Phone (704) 279-1046

720 Grove St
Salisbury, NC 28144
Phone (704) 637-7645

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: tallison14874@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1437145604",
    "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": "704-637-1123",
            "fax_number": "704-637-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOCKSVILLE AVE",
            "address_2": "SUITE 200",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442735",
            "telephone_number": "704-637-1123",
            "fax_number": "704-637-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "TREVOR",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200100635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129W1",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tallison14874@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "401 Mocksville Ave",
            "address_2": "Suite 200",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281442735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.