Active NPI
Jamie Mackenzie Stepp, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05004
- Practice address
- 1918 Randolph Rd Ste 400
Charlotte, NC 28207-1196 - Phone
- (704) 384-9437
- Fax
- (704) 384-9440
- NPI assigned
- May 16, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05004 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd Ste 400
Charlotte, NC 28207-1196
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9437
Other practice location 1
1730 E Woodlawn Rd
Suite D
Charlotte, NC 28209-2234
Phone (704) 384-1554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstepp163579@direct.novanthealth.org |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825001159 | NC | Practitioner - Physician Assistant | 1052539517 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
6324 Fairview Rd
Charlotte, NC 28210-4278
Hospital & facility affiliations
- Novant Health Matthews Medical Center
- Novant Health Presbyterian Medical Center
- Novant Health Ballantyne Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05004 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437
6324 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (980) 302-8626
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
13425 Hoover Creek Blvd
Ste 100
Charlotte, NC 28273
Phone (704) 316-2080
6324 Fairview Rd
Ste 310
Charlotte, NC 28210
Phone (704) 316-6565
5815 Blakeney Park Dr
Ste 200B
Charlotte, NC 28277
Phone (704) 316-5080
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680
1730 E Woodlawn Rd
Ste D
Charlotte, NC 28209
Phone (704) 384-1550
3330 Siskey Pkwy
Matthews, NC 28105
Phone (704) 316-2127
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- jstepp163579@direct.novanthealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Neurological Surgery Physician
- Charlotte, NC
- NPI 1336775535
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
Hospital
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1487065066",
"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": "704-384-9437",
"fax_number": "704-384-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071196",
"telephone_number": "704-384-9437",
"fax_number": "704-384-9440"
}
],
"practiceLocations": [
{
"address_1": "1730 E Woodlawn Rd",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282092234",
"country_code": "US",
"telephone_number": "704-384-1554",
"fax_number": "704-384-1552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPP",
"first_name": "JAMIE",
"middle_name": "MACKENZIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05004",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jstepp163579@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1730 E Woodlawn Rd",
"address_2": "Suite D",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282092234",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 24, 2023; 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.