Individual provider Active NPI

Uroosa H Motan, PA-C

  • Physician Assistant
  • Harrisburg, NC
National Provider Identifier
1861900771
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07862 Issued in NC
Practice address
6555 Kee LN Ste 200
Harrisburg, NC 28075-7463
Phone
(980) 302-9840
Fax
(980) 302-9841
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-07862 NC Primary

Addresses

Primary practice location

6555 Kee LN Ste 200
Harrisburg, NC 28075-7463

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

3558 Talwyn Ct
Charlotte, NC 28269-8678
Phone (704) 299-9678

Other practice location 2

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4477
Phone (704) 316-1886

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address umotan739648@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129000646 NC Practitioner - Physician Assistant 6709120934 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4477
Phone (704) 316-1886

236 Lephillip Court
Suite a
Concord, NC 28025-1917
Phone (419) 221-6717

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

6555 Kee LN
Suite 200
Harrisburg, NC 28075-7463
Phone (704) 316-2319

6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717

Hospital & facility affiliations

  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Aug 11, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 11, 2019 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

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

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 316-1886

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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 5

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1861900771",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 KEE LN STE 200",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757463",
            "telephone_number": "980-302-9840",
            "fax_number": "980-302-9841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3558 Talwyn Ct",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282698678",
            "country_code": "US",
            "telephone_number": "704-299-9678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Dale Earnhardt Blvd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280834477",
            "country_code": "US",
            "telephone_number": "704-316-1886",
            "fax_number": "704-316-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTAN",
        "first_name": "UROOSA",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "umotan739648@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3558 Talwyn Ct",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282698678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

Verify at the official NPI Registry.