Active NPI
Anita Colleen Coady, ANP
- Adult Health Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A0612111
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7006409 | Medicaid | NC | |
| 175V4 | Other | NC | BCBS |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5005717 | NC | MD | Nurse Practitioner |
| A0612111 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Hospice of the Piedmont, Inc. | Current | Accepting new patients | |
| Matrix Mending Advanced Wound Consultants & Mobile Care PLLC | Current | Accepting new patients | |
| Hospice of the Piedmont, Inc. | Current | Accepting new patients | |
| Chma of NC | Adult Health | Current | 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
- 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.
-
- Wound Care Registered Nurse
- Greensboro, NC
- NPI 1609744937
-
- Specialist
- High Point, NC
- NPI 1871640458
-
- Community Based Hospice Care Agency
- High Point, NC
- NPI 1225017759
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1063217545
-
- Geriatric Medicine (Family Medicine) Physician
- Winston Salem, NC
- NPI 1144575929
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1194060368
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.