Individual provider Active NPI

Lillian Shalini Ferdinands, MD

  • Pediatrics Physician
  • Huntersville, NC
National Provider Identifier
1508813767
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9700546 Issued in NC
Practice address
16525 Holly Crest LN Ste 150
Huntersville, NC 28078-4911
Phone
(704) 384-8720
Fax
(704) 384-8747
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9700546 NC Primary

Addresses

Primary practice location

16525 Holly Crest LN Ste 150
Huntersville, NC 28078-4911

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-8720

Other practice location 1

17220 Northcross Dr
Suite 110
Huntersville, NC 28078-5085
Phone (704) 384-8720

Other identifiers 2

IdentifierTypeStateIssuer
891095AMedicaidNC
N00546MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lferdinands14783@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130410000372 NC Practitioner - Pediatric Medicine 3375789753 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700546NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jan 17, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 17, 2013 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

17220 Northcross Dr
Ste 110
Huntersville, NC 28078
Phone (704) 384-8720

17220 Northcross Dr
Huntersville, NC 28078

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: lferdinands14783@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1508813767",
    "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": "704-384-8720",
            "fax_number": "704-384-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 HOLLY CREST LN STE 150",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784911",
            "telephone_number": "704-384-8720",
            "fax_number": "704-384-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17220 Northcross Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280785085",
            "country_code": "US",
            "telephone_number": "704-384-8720",
            "fax_number": "704-384-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERDINANDS",
        "first_name": "LILLIAN",
        "middle_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9700546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891095A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00546",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lferdinands14783@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "17220 Northcross Dr",
            "address_2": "Suite 110",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280785085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.