Individual provider Active NPI

Heather Nicole Laxton Bartha

  • Nurse Practitioner
  • Concord, NC
National Provider Identifier
1679157952
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012757 Issued in NC
Practice address
9955 Poplar Tent Rd
Concord, NC 28027-9314
Phone
(704) 316-1581
Fax
(704) 316-1582
NPI assigned
May 12, 2021
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 5012757 NC Primary

Addresses

Primary practice location

9955 Poplar Tent Rd
Concord, NC 28027-9314

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Phone (704) 316-2589

Other practice location 2

5370 Ridge Rd Ste D1
Charlotte, NC 28269-2298
Phone (704) 316-1581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hperry159307@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
I20210607000081 NC Practitioner - Nurse Practitioner 1658770045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NMG Health Services LLCGroup PAC ID 4789057753, 40 clinicians

Practice addresses (Care Compare)

6331 Carmel Rd
Suite 102
Charlotte, NC 28226-8286
Phone (704) 316-2557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services, LLC CurrentSince Nov 29, 2022 Accepting new patients
NMG Health Services LLC CurrentSince Nov 29, 2022 Accepting new patients

Locations

5370 Ridge Rd
Ste D1
Charlotte, NC 28269
Phone (704) 316-1581

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

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

Interoperability endpoints

  • Direct secure messaging: hperry159307@direct.novanthealth.org

Organizations & group practices 2

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1679157952",
    "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": "9955 POPLAR TENT RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279314",
            "telephone_number": "704-316-1581",
            "fax_number": "704-316-1582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6331 Carmel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268286",
            "country_code": "US",
            "telephone_number": "704-316-2589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5370 Ridge Rd Ste D1",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282692298",
            "country_code": "US",
            "telephone_number": "704-316-1581",
            "fax_number": "704-316-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTHA",
        "first_name": "HEATHER",
        "middle_name": "NICOLE LAXTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hperry159307@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5370 Ridge Rd Ste D1",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282692298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.