Active NPI
Carissa Leigh Heibel, P.A.
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04977
- Practice address
- 125 Queens Rd Ste 250
Charlotte, NC 28204-3419 - Phone
- (704) 316-5100
- NPI assigned
- Jun 25, 2008
- Last updated
- May 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04977 | NC | Primary |
| Surgical Physician Assistant | 363AS0400X | 2128 | TN |
Addresses
Primary practice location
125 Queens Rd Ste 250
Charlotte, NC 28204-3419
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5100
Other practice location 1
2555 Court Dr
Suite 200
Gastonia, NC 28054-2134
Phone (704) 867-2141
Other practice location 2
2555 Court Dr
Suite 200
Gastonia, NC 28054-2134
Phone (704) 867-2141
Other practice location 3
301 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 316-5100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529055 | Medicaid | TN | |
| 1689836306 | Medicaid | NC | |
| P01120793 | Other | TN | RR MEDICARE |
| 187725 | Other | NC | BCBS NC |
| P01423324 | Other | NC | MDCR RR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cheibel741462@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
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
125 Queens Rd
Charlotte, NC 28204-3215
134 Medical Park Rd
Suite 200
Mooresville, NC 28117-8527
Phone (704) 384-7972
1901 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 316-2000
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 343-9800
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1278 | SC | MD | Registered Dietitian |
| 2128 | TN | MD | Speech-Language Pathologist |
| 0010-04977 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Novant Medical Group Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
2555 Court Dr
Ste 200
Gastonia, NC 28054
Phone (704) 671-7670
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Senior Care
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
dba CaroMont Heart and Vascular
- Cardiovascular Disease Physician
- Gastonia, NC
- NPI 1174813224
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Triad Surgical Associates
- Surgery Physician
- Winston Salem, NC
- NPI 1376976043
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1114171634
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Huntersville, NC
- NPI 1053655647
-
dba Novant Health Infusion
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1689836306",
"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": "704-316-5100",
"fax_number": "704-316-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043419",
"telephone_number": "704-316-5100"
}
],
"practiceLocations": [
{
"address_1": "2555 Court Dr",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542134",
"country_code": "US",
"telephone_number": "704-867-2141",
"fax_number": "704-867-2308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2555 Court Dr",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542134",
"country_code": "US",
"telephone_number": "704-867-2141",
"fax_number": "704-867-2308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-316-5100",
"fax_number": "704-316-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIBEL",
"first_name": "CARISSA",
"middle_name": "LEIGH",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04977",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "2128",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529055",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689836306",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01120793",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "187725",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR RR",
"identifier": "P01423324",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cheibel741462@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2555 Court Dr",
"address_2": "Suite 200",
"city": "Gastonia",
"state": "NC",
"country_code": "US",
"postal_code": "280542134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.