Active NPI
Jennifer Suzanne Blevins, NP
- Nurse Practitioner
- Leland, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5008622
- Practice address
- 501 Olde Waterford Way
Leland, NC 28451-4117 - Phone
- (910) 408-1130
- Fax
- (910) 408-1135
- NPI assigned
- May 7, 2016
- Last updated
- Jan 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5008622 | NC | Primary |
Addresses
Primary practice location
501 Olde Waterford Way
Leland, NC 28451-4117
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Other practice location 2
7810 Providence Rd
Suite 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Other practice location 3
5727 Prosperity Crossing Dr
Suite 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Other practice location 4
501 Olde Waterford Way
Leland, NC 28451-4117
Phone (910) 408-1130
Other practice location 5
1090 NE Gateway Ct NE
Suite 202
Concord, NC 28025-2414
Phone (704) 403-9050
Other practice location 6
10210 Couloak Dr
Suite E
Charlotte, NC 28216-7679
Phone (704) 801-2000
Other practice location 7
319 Village Rd NE
Leland, NC 28451-7417
Phone (910) 721-1197
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwhite393037@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
501 Olde Waterford Way
Leland, NC 28451-4117
Phone (910) 721-4370
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008622 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Care - Urgent Care and Sports Medicine | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
3603 Davis Dr
Ste 105
Morrisville, NC 27560
Phone (919) 500-2005
1904 Jake Alexander Blvd W
Ste 301
Salisbury, NC 28147
Phone (704) 638-1551
6832 Market St
#A
Wilmington, NC 28405
Phone (910) 242-3514
Interoperability endpoints
- jwhite393037@direct.novanthealth.org
Organizations & group practices 4
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1205262995
-
dba Novant Health Diabetes & Nutrition
- Internal Medicine Physician
- Salisbury, NC
- NPI 1932745569
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Brunswick Medical Center
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1629424742",
"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": "501 OLDE WATERFORD WAY",
"city": "LELAND",
"state": "NC",
"postal_code": "284514117",
"telephone_number": "910-408-1130",
"fax_number": "910-408-1135"
}
],
"practiceLocations": [
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7810 Providence Rd",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "Suite 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Olde Waterford Way",
"address_purpose": "LOCATION",
"city": "Leland",
"state": "NC",
"postal_code": "284514117",
"country_code": "US",
"telephone_number": "910-408-1130",
"fax_number": "910-408-1135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1090 NE Gateway Ct NE",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252414",
"country_code": "US",
"telephone_number": "704-403-9050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10210 Couloak Dr",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282167679",
"country_code": "US",
"telephone_number": "704-801-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 Village Rd NE",
"address_purpose": "LOCATION",
"city": "Leland",
"state": "NC",
"postal_code": "284517417",
"country_code": "US",
"telephone_number": "910-721-1197",
"fax_number": "910-721-1199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLEVINS",
"first_name": "JENNIFER",
"middle_name": "SUZANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-07",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5008622",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwhite393037@direct.novanthealth.org",
"affiliation": "N",
"address_1": "319 Village Rd NE",
"city": "Leland",
"state": "NC",
"country_code": "US",
"postal_code": "284517417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leland, NC
- Beneath the Trees Dba Corinthian Place (Corinthian Place)
- Benjamin Koren, DDS VI PA (Leland Orthodontics)
- Best Way Group Homes, LLC
- Edgardo Hugo Bianchi, MD
- Charles Richardson Biggerstaff, DDS, PHARMD
- Bloomia Therapy Services
- Blossom Counseling Center PLLC
- Bluewater Dermatology and Skin Cancer Center PA
- Bluewave Dentistry
- Michelle Becky Blyumin, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.