Individual provider Active NPI

Brittany Nicole Malone, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1780102012
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11161 Issued in NC
Practice address
2801 Randolph Rd Ste 100
Charlotte, NC 28211-1051
Phone
(704) 367-4800
Fax
(704) 316-3025
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11161 NC Primary

Addresses

Primary practice location

2801 Randolph Rd Ste 100
Charlotte, NC 28211-1051

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2435 W Belvedere Ave Ste 42
Baltimore, MD 21215-5224
Phone (410) 601-1122

Other practice location 2

325 Hawthorne Ln Ste 100
Charlotte, NC 28204-2536
Phone (704) 316-7760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmalone880695@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171120001792 MD Practitioner - Physician Assistant 3173880598 Reassigns benefits to 1 organization
I20210513000349 NC Practitioner - Physician Assistant 3173880598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10030 Gilead Rd
Huntersville, NC 28078-7545

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

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

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5099

8201 Health Loop
Charlotte, NC 28215-7072

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11161NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc CurrentSince Nov 27, 2017 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince May 1, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 21, 2021 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Nov 27, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 21, 2021 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 42
Baltimore, MD 21215
Phone (410) 601-5547

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

325 Hawthorne Ln
Ste 100
Charlotte, NC 28204
Phone (704) 316-7763

2801 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 367-4800

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 8

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.

Hospital & facility affiliations 8

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1780102012",
    "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": "2801 RANDOLPH RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111051",
            "telephone_number": "704-367-4800",
            "fax_number": "704-316-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 W Belvedere Ave Ste 42",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155224",
            "country_code": "US",
            "telephone_number": "410-601-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Hawthorne Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042536",
            "country_code": "US",
            "telephone_number": "704-316-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmalone880695@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "325 Hawthorne Ln Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.