Individual provider Active NPI

Jeanne Sweeney, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1669877429
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007276 Issued in NC
Practice address
4815 Berewick Town Center Dr Ste C&D
Charlotte, NC 28278-6733
Phone
(980) 337-4652
Fax
(980) 337-4653
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5007276 NC
Nurse Practitioner 363L00000X 5007276 NC Primary

Addresses

Primary practice location

4815 Berewick Town Center Dr Ste C&D
Charlotte, NC 28278-6733

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

9600 E Independence Blvd
Matthews, NC 28105-4628
Phone (704) 815-5624

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsweeney81316@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128001570 NC Practitioner - Nurse Practitioner 8527382266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLC 184 clinicians

Practice addresses (Care Compare)

13129 S Tryon St
Suite 120
Charlotte, NC 28278-7915
Phone (980) 337-4662

15235 John J Delaney Dr
Suite B
Charlotte, NC 28277-2846
Phone (704) 243-8937

3836 Corning PL
Charlotte, NC 28216-1224
Phone (704) 317-2108

4815 Berewick Town Ctr Dr
Charlotte, NC 28278-6973
Phone (980) 337-4652

600 Highland Oaks Dr
Winston Salem, NC 27103-7107
Phone (366) 774-0040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007276NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC Current Accepting new patients
NH Digital Health Services, LLC CurrentSince Feb 8, 2023 Accepting new patients
NH Digital Health Services, LLC CurrentSince Feb 8, 2023 Accepting new patients
Carolina Medicorp Enterprises Inc Nurse Practitioner CurrentSince Nov 16, 2014 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 20, 2015 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 20, 2015 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations (25 of 36)

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

4304 Park Rd
Charlotte, NC 28209
Phone (704) 272-3395

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

4815 Berewick Town Center Dr
Ste Cd
Charlotte, NC 28278
Phone (980) 337-4652

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

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

17078 Nat Bynum Ln
Unit 3
Cornelius, NC 28031
Phone (704) 324-3975

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

Organizations & group practices 8

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1669877429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 BEREWICK TOWN CENTER DR STE C&D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786733",
            "telephone_number": "980-337-4652",
            "fax_number": "980-337-4653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 E Independence Blvd",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281054628",
            "country_code": "US",
            "telephone_number": "704-815-5624",
            "fax_number": "704-815-5621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JEANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007276",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsweeney81316@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "4815 Berewick Town Center Dr Ste C&d",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282786733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.