Individual provider Active NPI

Philip Jay Solomon, M.D.

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1801897087
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00-35519 Issued in NC
Practice address
5933 Blakeney Park Dr
Suite 100
Charlotte, NC 28277-5713
Phone
(704) 316-2021
Fax
(704) 316-2025
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00-35519 NC Primary

Addresses

Primary practice location

5933 Blakeney Park Dr
Suite 100
Charlotte, NC 28277-5713

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840

Other identifiers 2

IdentifierTypeStateIssuer
8978412MedicaidNC
N35519MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psolomon15356@direct.novanthealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060301000692 NC Practitioner - Obstetrics/Gynecology 6406862374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

5933 Blakeney Park Dr
Suite 100
Charlotte, NC 28277-5713
Phone (704) 316-2021

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00-35519NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NMG Health Services LLC Obstetrics & Gynecology Current Accepting new patients
NMG Health Services, LLC Obstetrics & Gynecology CurrentSince Dec 6, 2022 Accepting new patients
NMG Health Services, LLC Obstetrics & Gynecology CurrentSince Dec 6, 2022 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Feb 1, 2006 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 20, 2019 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Feb 1, 2006 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations (25 of 28)

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-2319

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

5815 Blakeney Park Dr
Ste 200B
Charlotte, NC 28277
Phone (704) 316-5080

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

10514 Park Rd
Charlotte, NC 28210
Phone (704) 384-9960

2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860

Interoperability endpoints

  • Direct secure messaging: psolomon15356@direct.novanthealth.org

Organizations & group practices 9

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 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1801897087",
    "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",
            "telephone_number": "704-384-7840",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 BLAKENEY PARK DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775713",
            "telephone_number": "704-316-2021",
            "fax_number": "704-316-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "PHILIP",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "00-35519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978412",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N35519",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psolomon15356@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5933 Blakeney Park Dr",
            "address_2": "Suite 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282775713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.