Individual provider Active NPI

Branson William Hyatt, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1659783496
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2018-00631 Issued in NC
Practice address
1901 E 5TH St
Charlotte, NC 28204-2429
Phone
(980) 367-4363
Fax
(704) 384-1644
NPI assigned
May 28, 2014
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2018-00631 NC Primary

Addresses

Primary practice location

1901 E 5TH St
Charlotte, NC 28204-2429

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-2319

Other practice location 1

1928 Alcoa Hwy
Building B, Suite 118
Knoxville, TN 37920-1502
Phone (865) 305-8787

Other practice location 2

8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone (704) 316-2319

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bhyatt553382@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808002198 NC Practitioner - Obstetrics/Gynecology 0244588168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

6331 Carmel Rd
Suite 102
Charlotte, NC 28226-8246
Phone (704) 384-1390

9955 Poplar Tent Rd
Concord, NC 28027-9314
Phone (704) 316-4828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00631NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 20, 2019 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 20, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 2, 2024 Accepting new patients

Locations (25 of 29)

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000

1901 E 5th St
Charlotte, NC 28204
Phone (980) 367-4363

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-1120

8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860

Interoperability endpoints

  • Direct secure messaging: bhyatt553382@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1659783496",
    "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": "704-316-2319",
            "fax_number": "704-316-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 5TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042429",
            "telephone_number": "980-367-4363",
            "fax_number": "704-384-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 Alcoa Hwy",
            "address_2": "Building B, Suite 118",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201502",
            "country_code": "US",
            "telephone_number": "865-305-8787",
            "fax_number": "865-305-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8110 Healthcare Loop",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282157069",
            "country_code": "US",
            "telephone_number": "704-316-2319",
            "fax_number": "704-316-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYATT",
        "first_name": "BRANSON",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2018-00631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhyatt553382@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1928 Alcoa Hwy",
            "address_2": "Building B, Suite 118",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379201502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.