Individual provider Active NPI

Misty Walker Wright, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1619384500
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
158409 Issued in NC
Practice address
2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027
Phone
(704) 348-2992
Fax
(704) 334-3061
NPI assigned
Jul 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 158409 NC Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027

Mailing address

2711 Randolph Rd
Ste 400
Charlotte, NC 28207-2027
Phone (704) 348-2992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mistywright@mnapa.allscriptsdirect.net Direct

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
I20141030002661 NC Practitioner - Nurse Practitioner 4587842729 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
158409NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Nov 3, 2014 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Aug 3, 2014 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Aug 3, 2014 Accepting new patients
Caromont Medical Group, Inc. CurrentSince Nov 3, 2014 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients

Locations

120 S Mountain St
Cherryville, NC 28021
Phone (704) 445-0422

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

600 W Trade St
Dallas, NC 28034
Phone (980) 834-9130

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

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1619384500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-348-2992",
            "fax_number": "704-224-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-348-2992",
            "fax_number": "704-334-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MISTY",
        "middle_name": "WALKER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "158409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mistywright@mnapa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Direct Messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "2711 Randolph Rd Ste 400",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282072027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.