Individual provider Active NPI

Donnette Ann Labus, APRN

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1609833326
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5003910 Issued in NC
Practice address
3030 Randolph Rd Ste 100
Charlotte, NC 28211-1365
Phone
(704) 907-8175
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 185310 NC
Family Nurse Practitioner 363LF0000X 2172 SC
Family Nurse Practitioner 363LF0000X 5003910 NC Primary

Addresses

Primary practice location

3030 Randolph Rd Ste 100
Charlotte, NC 28211-1365

Mailing address

4810 Armorcrest LN
Charlotte, NC 28277-0236
Phone (704) 907-8175

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
I20080328000583 NC Practitioner - Nurse Practitioner 7416055280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 468-8874

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2172SCMDMental Health Counselor
185310NCMDFamily Nurse Practitioner
5003910NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Health Specialty Network Inc CurrentSince Jun 12, 2025 Accepting new patients

Locations

3030 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 512-4450

14135 Ballantyne Corporate Pl
Ste 225
Charlotte, NC 28277
Phone (704) 316-2930

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

3030 Randolph Rd
Charlotte, NC 28211
Phone (704) 512-4420

Interoperability endpoints

  • Direct secure messaging: dlabus417428@directhisp.wakemed.org
  • Direct secure messaging: dlabus3001421@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 1

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 8

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1609833326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 ARMORCREST LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770236",
            "telephone_number": "704-907-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 RANDOLPH RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111365",
            "telephone_number": "704-907-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABUS",
        "first_name": "DONNETTE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "185310",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5003910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.