David J Nowicky, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

200201133 Issued in NC

Practice address

3315 Springbank LN
Suite 202
Charlotte, NC 28226-3197

Phone

(704) 997-7070

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Plastic and Reconstructive Surgery

Education

Northeastern Ohio University College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carolinas Skin Center PA

  • Plastic Surgery Physician
  • Charlotte, NC
  • NPI 1346790821
  Medicare reassignment NPD Authorized official
• Blue Ridge Plastic Surgery PA

  • Plastic Surgery Physician
  • Hendersonville, NC
  • NPI 1659300333
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1801849609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 MILFORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102861",
            "telephone_number": "980-254-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LN",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263197",
            "telephone_number": "704-997-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKY",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "200201133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5525536",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1317V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Novick, D.M.D.
• Now Counseling & Consulting, PLLC
• Shavodka Love Nowacki, LCSW
• Natalie Lynn Nowak, D.O.
• Emma Katherine Nowicki, MD
• NP Solutions Group PLLC
• Shawn S Nsehti, QP
• William Ofori Ntim, MD
• Nu Visions Health & Wellness, PLLC
• Nuance Facial Plastics PLLC

• Plastic Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.