NPIMap

Individual provider Active NPI

Howard David Homesley, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1871578674
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200301241 Issued in NC
Practice address
449 N Wendover Rd
Suite a
Charlotte, NC 28211-1064
Phone
(704) 365-6730
Fax
(704) 365-6731
NPI assigned
Dec 14, 2005
Last updated
Oct 25, 2020By the provider in NPPES
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
Orthopaedic Surgery Physician 207X00000X 200301241 NC Primary

Addresses

Primary practice location

449 N Wendover Rd
Suite a
Charlotte, NC 28211-1064

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
N01242MedicaidSC
89136F0MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hhomesley15644@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000278 NC Practitioner - Orthopedic SurgeryPractitioner - Plastic and Reconstructive Surgery 3274423769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
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
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

201 McCullough Dr
Suite 310
Charlotte, NC 28262-3577
Phone (704) 547-1129

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

4741 Randolph Rd
Suite 100And200
Charlotte, NC 28211-2919
Phone (704) 365-6730

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

7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement125
Knee replacement213
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200301241NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 1, 2007 Accepting new patients
Novant Health Medical Group, LLC Orthopaedic Surgery CurrentSince Jan 1, 2007 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Health Medical Group, LLC Orthopaedic Surgery Past Accepting new patients

Locations

10905 Providence Rd W
Ste 270
Charlotte, NC 28277
Phone (704) 316-3410

2826 Randolph Rd
Charlotte, NC 28211
Phone (704) 358-0308

449 N Wendover Rd
#A
Charlotte, NC 28211
Phone (704) 316-6005

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

4741 Randolph Rd
Ste 100200
Charlotte, NC 28211
Phone (704) 365-6730

10030 Gilead Rd
Ste 140
Huntersville, NC 28078
Phone (704) 316-1265

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

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1871578674",
    "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": "449 N WENDOVER RD",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111064",
            "telephone_number": "704-365-6730",
            "fax_number": "704-365-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMESLEY",
        "first_name": "HOWARD",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200301241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01242",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136F0",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhomesley15644@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "449 N Wendover Rd",
            "address_2": "Suite A",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282111064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.