Individual provider Active NPI

Isaac Richard Rowner, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1609369099
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08153 Issued in NC
Practice address
1918 Randolph Rd Ste 400
Charlotte, NC 28207-1196
Phone
(704) 384-9437
Fax
(704) 384-9440
NPI assigned
Jun 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08153 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

1995 Wellness Blvd Ste 110
Monroe, NC 28110
Phone (704) 384-1140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irowner653627@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000703 NC Practitioner - Physician Assistant 9436493319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-08153NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital CurrentSince Aug 12, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 12, 2023 Accepting new patients
Novant Medical Group Inc CurrentSince Sep 4, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 4, 2018 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

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

6324 Fairview Rd
Ste 310
Charlotte, NC 28210
Phone (704) 316-6565

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

6324 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (980) 302-8626

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

19485 Old Jetton Rd
Ste 270
Cornelius, NC 28031
Phone (704) 384-7700

3330 Siskey Pkwy
Matthews, NC 28105
Phone (704) 316-2127

1995 Wellness Blvd
Ste 110
Monroe, NC 28110
Phone (704) 316-3030

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

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

190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

Interoperability endpoints

  • Direct secure messaging: irowner653627@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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1609369099",
    "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": "1995 Wellness Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "28110",
            "country_code": "US",
            "telephone_number": "704-384-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWNER",
        "first_name": "ISAAC",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irowner653627@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1995 Wellness Blvd Ste 110",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.