NPIMap

Individual provider Active NPI

Justin Alexander Rennard, MD

  • Orthopaedic Surgery Physician
  • Belmont, NC
National Provider Identifier
1780180125
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2023-01898 Issued in NC
Practice address
540 Mount Holly Medical Pkwy
Belmont, NC 28012
Phone
(704) 323-3337
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2023-01898 NC Primary

Addresses

Primary practice location

540 Mount Holly Medical Pkwy
Belmont, NC 28012

Mailing address

4601 Park Rd
Ste 300
Charlotte, NC 28209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719002309 NC Practitioner - Orthopedic Surgery 5799145959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
OrthocarolinaGroup PAC ID 2062316821, 288 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

540 Mount Holly Medical Pkwy
Belmont, NC 28012-4390
Phone (704) 323-3337

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-01898NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Orthocarolina Orthopaedic Surgery Current Accepting new patients
Carolinas Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jul 11, 2023 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jul 11, 2023 Accepting new patients
Orthocarolina Orthopaedic Surgery PastSince Jul 1, 2023 Accepting new patients

Locations

540 Mount Holly Medical Pkwy
Belmont, NC 28012
Phone (704) 323-3337

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

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

2001 Vail Ave
Ste 200B
Charlotte, NC 28207
Phone (704) 323-3668

2001 Vail Ave
#200B
Charlotte, NC 28207

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

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 7

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1780180125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MOUNT HOLLY MEDICAL PKWY",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "28012",
            "telephone_number": "704-323-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNARD",
        "first_name": "JUSTIN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2023-01898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.