NPIMap

Individual provider Active NPI

Corey Scott Mottesheard, D.O.

  • Family Medicine Physician
  • Cornelius, NC
National Provider Identifier
1578098232
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019-02398 Issued in NC
Practice address
19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583
Phone
(704) 384-1775
Fax
(704) 384-1776
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLC 2,413 clinicians
Legacy Healthcare Services Inc 3,431 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

19485 Old Jetton Rd
Suite 100
Cornelius, NC 28031-6583
Phone (704) 384-1775

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Charlotte, NC, CCN 347087
  • Adoration Home Health Home health agency, Concord, NC, CCN 347126
  • Centerwell Home Health Home health agency, Charlotte, NC, CCN 347177
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721000713 NC Practitioner - Family Practice 5092088377 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jul 2, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 2, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

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

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

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

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

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: cmottesheard445773@direct.novanthealth.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 228372 NC
Family Medicine Physician 207Q00000X 2019-02398 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

19485 Old Jetton Rd Ste 100
Cornelius, NC 28031-6583

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

10030 Gilead Road
Novant Health Huntersville Medical Center
Huntersville, NC 28078
Phone (704) 316-4000

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address cmottesheard445773@direct.novanthealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2020.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1578098232",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19485 OLD JETTON RD STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316583",
            "telephone_number": "704-384-1775",
            "fax_number": "704-384-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10030 Gilead Road",
            "address_2": "Novant Health Huntersville Medical Center",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "704-316-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTTESHEARD",
        "first_name": "COREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "228372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-02398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmottesheard445773@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "10030 Gilead Road",
            "address_2": "Novant Health Huntersville Medical Center",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.