Individual provider Active NPI

James Desimone, FNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1700312279
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009522 Issued in NC
Practice address
10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone
(704) 510-8000
Fax
(704) 510-8006
NPI assigned
May 3, 2017
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 5009522 NC Primary

Addresses

Primary practice location

10810 Mallard Creek Rd
Charlotte, NC 28262-9786

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1500

Other practice location 1

8401 Medical Plaza Dr Ste 250
Charlotte, NC 28262-8700
Phone (704) 439-0053

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdesimone497302@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
I20171003004642 NC Practitioner - Nurse Practitioner 6002181989 Reassigns benefits to 7 organizations

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
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
NH Digital Health Services LLCGroup PAC ID 9537588934, 37 clinicians

Practice addresses (Care Compare)

1450 Matthews Township Pkwy
Suite 400
Matthews, NC 28105-5336
Phone (704) 316-5410

19830 Zion Ave
Cornelius, NC 28031-8495
Phone (704) 384-1782

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone (704) 316-4136

6324 Fairview Rd
Suite 201
Charlotte, NC 28210-4278
Phone (704) 384-0588

Hospital & facility affiliations

National Provider Directory

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

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 CurrentSince May 6, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 6, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 6, 2022 Accepting new patients
NH Digital Health Services, LLC CurrentSince Oct 5, 2025 Accepting new patients
NH Digital Health Services, LLC CurrentSince Oct 5, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 6, 2022 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Arboretum Urgent Care Center CurrentSince Sep 6, 2022 Accepting new patients
SCRN LLC CurrentSince Mar 17, 2018 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 6, 2021 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10210 Couloak Dr
Ste E
Charlotte, NC 28216
Phone (704) 801-2000

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

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150

6324 Fairview Rd
Ste 201
Charlotte, NC 28210
Phone (704) 384-0588

8401 Medical Plaza Dr
Ste 250
Charlotte, NC 28262
Phone (704) 384-1500

9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

14330 Oakhill Park Ln
Ste 115
Huntersville, NC 28078
Phone (704) 316-1265

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

1450 Matthews Township Pkwy
Ste 400
Matthews, NC 28105
Phone (704) 316-5140

1420 E Franklin St
Monroe, NC 28112
Phone (704) 289-8427

3007 Wesley Chapel Stouts Rd
Ste B
Monroe, NC 28110
Phone (704) 412-3612

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

Interoperability endpoints

  • Direct secure messaging: jdesimone497302@direct.novanthealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1700312279",
    "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": "704-384-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 MALLARD CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629786",
            "telephone_number": "704-510-8000",
            "fax_number": "704-510-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Medical Plaza Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282628700",
            "country_code": "US",
            "telephone_number": "704-439-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIMONE",
        "first_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdesimone497302@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8401 Medical Plaza Dr Ste 250",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282628700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.