Individual provider Active NPI

Michael Ellsworth Drennen, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1598026551
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
182805 Issued in NC
Practice address
5933 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5763
Phone
(704) 316-2021
Fax
(704) 316-2025
NPI assigned
Jun 6, 2012
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 182805 NC Primary

Addresses

Primary practice location

5933 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5763

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160720000024 SC Practitioner - Obstetrics/Gynecology 7719270321 Reassigns benefits to 1 organization
I20220411000287 NC Practitioner - Obstetrics/Gynecology 7719270321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

1718 E 4TH St
Suite 201
Charlotte, NC 28204-3194
Phone (704) 384-0560

5933 Blakeney Park Dr
Suite 100
Charlotte, NC 28277-5713
Phone (704) 316-2021

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182805NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Obstetrics & Gynecology CurrentSince Oct 23, 2017 Accepting 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 Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Novant Health Medical Group LLC Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2022 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations (25 of 27)

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-1120

8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

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

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

1721 Ebenezer Rd
Ste 145
Rock Hill, SC 29732
Phone (803) 328-2401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
  • Direct secure messaging: mdrennen1024624@direct.novanthealth.org

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.

Hospital & facility affiliations 4

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1598026551",
    "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": "5933 BLAKENEY PARK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775763",
            "telephone_number": "704-316-2021",
            "fax_number": "704-316-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-3153",
            "fax_number": "704-355-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRENNEN",
        "first_name": "MICHAEL",
        "middle_name": "ELLSWORTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "182805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.