Megan Tudor Donnelly, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2018-01209 Issued in NC

Practice address

2801 Randolph Road Suite 101
Charlotte, NC 28211

Phone

(704) 384-8696

Fax

(704) 384-8697

NPI assigned

Jun 20, 2011

Last updated

Oct 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, NC, IN3 enrollments

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 3

Specialty

Neurology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2011

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)

Hospital & facility affiliations

• Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
• Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: mdonnelly651919@direct.novanthealth.org
• Direct secure messaging: megan.donnelly@454146644180996.direct.elationemr.com

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.

• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment Care Compare group NPD
• The Presbyterian Hospital

  dba Novant Health Senior Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Charlotte, NC
  • NPI 1053365817
  Medicare reassignment NPD
• Jane Pauley Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1730488818
  Medicare reassignment NPD
• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1033455209
  Medicare reassignment NPD
• Muskingum Valley Health Centers

  • Primary Care Clinic/Center
  • Malta, OH
  • NPI 1205018348
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Neurology & Headache

  • Neurology Physician
  • Charlotte, NC
  • NPI 1679110621
  NPD
• The Presbyterian Hospital

  dba Novant Health Infusion

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1043953813

  Neurology

  NPD
• The Presbyterian Hospital

  dba Novant Health Infusion

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1740169820
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Newark, OH
  • NPI 1700549755
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992460950
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992468938
  NPD

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

• Novant Health Matthews Medical Center LLC

  dba Novant Health Matthews Medical Center

  • General Acute Care Hospital
  • Matthews, NC
  • NPI 1063463156
  Care Compare affiliation
• The Presbyterian Hospital

  dba Presbyterian ESRD Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlotte, NC
  • NPI 1396798591

  Hospital

  Care Compare affiliation
• The Presbyterian Hospital

  dba Presbyterian Behavioral Health Unit

  • Psychiatric Hospital Unit
  • Charlotte, NC
  • NPI 1497708838
  Care Compare affiliation
• The Presbyterian Hospital

  dba Novant Health Presbyterian Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1881647204
  Care Compare affiliation
• The Presbyterian Hospital

  dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit

  • Skilled Nursing Facility
  • Charlotte, NC
  • NPI 1891871901

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1437444346",
    "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": "704-384-8696",
            "fax_number": "704-384-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 RANDOLPH ROAD SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "704-384-8696",
            "fax_number": "704-384-8697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cleveland Clinic Gme",
            "address_2": "9500 Euclid Ave NA-23",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Randolph Road Suite 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28211",
            "country_code": "US",
            "telephone_number": "704-384-8696",
            "fax_number": "704-384-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "MEGAN",
        "middle_name": "TUDOR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2018-01209",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34.011825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdonnelly651919@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "Cleveland Clinic Gme",
            "address_2": "9500 Euclid Ave NA-23",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Junling Dong, DO
• Robin Dong, D.O.
• Donna B Olsen Dda and Richard a Olsen DDS PA (Olsen and Olsen General Dentistry)
• Kayla Christine Donnalley, PA
• John Donnelly, PHARMD
• Trevor James Donnelly, DO
• Daniel Scott Donner, MD
• Diane Marie Donoghue, LICENSED
• Audrey A. Donovan
• Kathleen Marie Donovan

• Neurology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.