Individual provider Active NPI

Audrey Celeste Novchich, FNP

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1801105473
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2342133 Issued in MA
Practice address
2803 Medical Campus Drive
Goldsboro, NC 27531-2301
Phone
(919) 722-1802
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024172467 VA
Family Nurse Practitioner 363LF0000X 5004901 NC
Family Nurse Practitioner 363LF0000X RN2342133 MA Primary

Addresses

Primary practice location

2803 Medical Campus Drive
Goldsboro, NC 27531-2301

Mailing address

3 Eagleston CT
Goldsboro, NC 27534-5488
Phone (919) 394-1827

Other practice location 1

246 Mill St
Leominster, MA 01453-3310
Phone (978) 534-5114

Other practice location 2

12701 Marblestone Dr Ste 130
Suite 130
Woodbridge, VA 22192-8329
Phone (571) 284-4350

Other names 1

  • Audrey Celeste Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC2 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
I20201219000113 MA Practitioner - Nurse Practitioner 5597959494 Reassigns benefits to 1 organization
I20240926003899 DC Practitioner - Nurse Practitioner 5597959494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201315NCMDFamily Nurse Practitioner
5004901NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Institute of Technology CurrentSince Dec 14, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 17, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 17, 2024 Accepting new patients

Locations

25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

2070 Chain Bridge Rd
Ste 150
Vienna, VA 22182
Phone (703) 794-5376

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1801105473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EAGLESTON CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275345488",
            "telephone_number": "919-394-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 MEDICAL CAMPUS DRIVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275312301",
            "telephone_number": "919-722-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Mill St",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014533310",
            "country_code": "US",
            "telephone_number": "978-534-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12701 Marblestone Dr Ste 130",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221928329",
            "country_code": "US",
            "telephone_number": "571-284-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVCHICH",
        "first_name": "AUDREY",
        "middle_name": "CELESTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024172467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004901",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2342133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "RUSSELL",
            "middle_name": "CELESTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.