Active NPI
Audrey Celeste Novchich, FNP
- Family Nurse Practitioner
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2342133
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201315 | NC | MD | Family Nurse Practitioner |
| 5004901 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Institute of Technology | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | 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.
-
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- Cambridge, MA
- NPI 1346308723
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.