Caudrean Latiste Avery-Benjamin, MD

Key facts

NPI

1720144637

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

200800028 (NC)

Practice address

1918 Randolph Rd
Suite 300
Charlotte, NC 28207-1100

Phone

(704) 377-5675

Fax

(704) 335-8163

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 6

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.

• Atrium Health North Market Network LLC Family Medicine Physician · Mooresville, NC · NPI 1871112920
  Medicare reassignment NPD NC · OBSTETRICS & GYNECOLOGY
• Novant Health Medical Group, LLC Endocrinology, Diabetes & Metabolism Physician · Charlotte, NC · NPI 1306950282
  Medicare reassignment NPD NC
• Novant Health Medical Group, LLC Neurology with Special Qualifications in Child Neurology Physician · Charlotte, NC · NPI 1366409492
  Medicare reassignment NPD NC
• Novant Health Medical Group, LLC Obstetrics & Gynecology Physician · Charlotte, NC · NPI 1104081959
  NPD OBSTETRICS & GYNECOLOGY
• Novant Health Medical Group, LLC Obstetrics & Gynecology Physician · Matthews, NC · NPI 1386506137
  NPD OBSTETRICS & GYNECOLOGY
• Novant Health Medical Group, LLC Obstetrics & Gynecology Physician · Charlotte, NC · NPI 1710228077
  NPD OBSTETRICS & GYNECOLOGY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: caverybenjamin3016851@carolinashealthcaresystem.direct-ci.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Caudrean L. Avery Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2025.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1720144637",
    "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": "704-377-5675",
            "fax_number": "704-335-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071100",
            "telephone_number": "704-377-5675",
            "fax_number": "704-335-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY-BENJAMIN",
        "first_name": "CAUDREAN",
        "middle_name": "LATISTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD430442",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200800028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910315",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE MEDICAL BOARD",
            "identifier": "2008-00028",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cavery36906@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd",
            "address_2": "Suite 300",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282071100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAUDREAN",
            "last_name": "AVERY",
            "middle_name": "L.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Charlotte, NC · Obstetrics & Gynecology Physician in North Carolina