Individual provider Active NPI

Anita Colleen Coady, ANP

  • Adult Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1457615569
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A0612111 Issued in NC
Practice address
6047 Tyvola Glen Cir Ste 100
Charlotte, NC 28217-6431
Phone
(443) 383-9300
NPI assigned
Jul 3, 2012
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005717 NC
Adult Health Nurse Practitioner 363LA2200X A0612111 NC Primary

Addresses

Primary practice location

6047 Tyvola Glen Cir Ste 100
Charlotte, NC 28217-6431

Mailing address

909 Ridgebrook Rd Ste 300
Sparks Glencoe, MD 21152-9477
Phone (443) 383-9300

Other practice location 1

1900 W 1st St
Winston Salem, NC 27104-4220
Phone (336) 420-9045

Other identifiers 2

IdentifierTypeStateIssuer
7006409MedicaidNC
175V4OtherNCBCBS

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
I20121023000618 NC Practitioner - Nurse Practitioner 3274783501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chma of NCGroup PAC ID 5092108605, 21 clinicians

Practice addresses (Care Compare)

6047 Tyvola Glen Cir
Suite 100
Charlotte, NC 28217-6431
Phone (443) 383-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5005717NCMDNurse Practitioner
A0612111NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Hospice of the Piedmont, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Matrix Mending Advanced Wound Consultants & Mobile Care PLLC CurrentSince Oct 15, 2025 Accepting new patients
Hospice of the Piedmont, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Chma of NC Adult Health CurrentSince Sep 30, 2024 Accepting new patients
Cardinal Health Services, PC Past Accepting new patients
Oldtown Immediate Care, PA Past Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

4037 E Independence Blvd
Ste 100
Charlotte, NC 28205
Phone (267) 239-6447

6047 Tyvola Glen Cir
Charlotte, NC 28217
Phone (203) 238-7754

405 Blandwood Ave
Ste 1
Greensboro, NC 27401
Phone (336) 365-8308

1801 Westchester Dr
High Point, NC 27262
Phone (336) 889-8446

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1457615569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TYVOLA GLEN CIR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176431",
            "telephone_number": "443-383-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044220",
            "country_code": "US",
            "telephone_number": "336-420-9045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COADY",
        "first_name": "ANITA",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005717",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "A0612111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006409",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "175V4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.