Individual provider Active NPI

Caudrean Latiste Avery-Benjamin, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1720144637
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200800028 Issued in 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
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD430442 PA
Obstetrics & Gynecology Physician 207V00000X 200800028 NC Primary

Addresses

Primary practice location

1918 Randolph Rd
Suite 300
Charlotte, NC 28207-1100

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 377-5675

Other names 1

  • Caudrean L. Avery Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cavery36906@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000688 NC Practitioner - Obstetrics/Gynecology 2163582602 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200800028NCMDObstetrics & Gynecology Physician
MD430442PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2016 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2016 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2016 Accepting new patients
Atrium Health North Market Network LLC Obstetrics & Gynecology CurrentSince Jul 7, 2025 Accepting new patients

Locations (25 of 29)

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 316-1495

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000

1901 E 5th St
Charlotte, NC 28204
Phone (980) 367-4363

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

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

2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-1120

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

17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

13620 Reese Blvd E
Ste 100
Huntersville, NC 28078
Phone (704) 801-7330

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860

Interoperability endpoints

  • Direct secure messaging: cavery36906@direct.novanthealth.org
  • Direct secure messaging: caverybenjamin3016851@carolinashealthcaresystem.direct-ci.com

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, 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": "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": [],
    "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"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.