Individual provider Active NPI

Logan Patrick-Carpenter Rhea, D.O.

  • Medical Oncology Physician
  • Charlotte, NC
National Provider Identifier
1487002267
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2023-01945 Issued in NC
Practice address
Novant Health Cancer Institute - Elizabeth
125 Queens Rd. Suite 420
Charlotte, NC 28204
Phone
(980) 302-6450
Fax
(980) 302-6505
NPI assigned
Jun 2, 2016
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116029273 VA
Hematology & Oncology Physician 207RH0003X 2023-01945 NC
Medical Oncology Physician 207RX0202X 2023-01945 NC Primary

Addresses

Primary practice location

Novant Health Cancer Institute - Elizabeth
125 Queens Rd. Suite 420
Charlotte, NC 28204

Mailing address

Novant Health Cancer Institute - Elizabeth
125 Queens Rd. Suite 420
Charlotte, NC 28204
Phone (980) 302-6450

Other practice location 1

3300 Gallows Rd
Department of Medicine, NPT-2
Falls Church, VA 22042-3307
Phone (703) 776-7780

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
I20230731001515 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1951636661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 420
Charlotte, NC 28204-3215
Phone (980) 302-6450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-01945NCMDHematology & Oncology Physician
0116029273VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital Hematology & Oncology CurrentSince Jul 15, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 15, 2023 Accepting new patients
The Presbyterian Hospital Hematology & Oncology PastSince Jul 15, 2023 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

10905 Providence Rd W
Ste 150
Charlotte, NC 28277
Phone (980) 302-7120

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (980) 302-6400

125 Queens Rd
Ste 420
Charlotte, NC 28204
Phone (980) 302-6450

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

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

Interoperability endpoints

  • Direct secure messaging: lrhea1141764@direct.novanthealth.org

Organizations & group practices 5

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 8

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1487002267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NOVANT HEALTH CANCER INSTITUTE - ELIZABETH",
            "address_2": "125 QUEENS RD. SUITE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "980-302-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NOVANT HEALTH CANCER INSTITUTE - ELIZABETH",
            "address_2": "125 QUEENS RD. SUITE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "980-302-6450",
            "fax_number": "980-302-6505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_2": "Department of Medicine, NPT-2",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-7780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEA",
        "first_name": "LOGAN",
        "middle_name": "PATRICK-CARPENTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116029273",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2023-01945",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2023-01945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.