Individual provider Active NPI

Nonna Weinstein, DO

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1619219169
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-02103 Issued in NC
Practice address
5801 Executive Center Dr
Ste 100
Charlotte, NC 28212-8861
Phone
(704) 863-1550
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39892 SC
Family Medicine Physician 207Q00000X 2016-02103 NC Primary

Addresses

Primary practice location

5801 Executive Center Dr
Ste 100
Charlotte, NC 28212-8861

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address nweinstein412242@CarolinasHealthcareSystem.direct-ci.com
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org

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
I20161220000272 SC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7416187919 Reassigns benefits to 1 organization
I20170627001097 NC Practitioner - Family Practice 7416187919 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39892SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Family Medicine CurrentSince Nov 28, 2016 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Apr 18, 2017 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 15, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 1, 2018 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Nov 28, 2016 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 15, 2023 Accepting new patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Feb 14, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients

Locations

2001 Vail Ave
Ste 400
Charlotte, NC 28207
Phone (704) 304-7000

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

5801 Executive Center Dr
Ste 100
Charlotte, NC 28212
Phone (704) 567-1977

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

707 Memorial Blvd
Concord, NC 28025
Phone (704) 403-7050

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

4429 W Highway 27
Vale, NC 28168
Phone (704) 748-2245

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

Interoperability endpoints

  • Direct secure messaging: nweinstein412242@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: ambulatory@direct.carolinashealthcare.org

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1619219169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 EXECUTIVE CENTER DR",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128861",
            "telephone_number": "704-863-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "NONNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39892",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-02103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "5801 Executive Center Dr",
            "address_2": "Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282128861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nweinstein412242@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "5801 Executive Center Dr",
            "address_2": "Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282128861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "N",
            "address_1": "5801 Executive Center Dr",
            "address_2": "Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282128861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.