Individual provider Active NPI

Carrie Lynn Hambrecht, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1881087799
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001005637 Issued in NC
Practice address
3149 Freedom Dr
Charlotte, NC 28208-3869
Phone
(980) 302-9405
Fax
(980) 302-9406
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001005637 NC Primary

Addresses

Primary practice location

3149 Freedom Dr
Charlotte, NC 28208-3869

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267

Other practice location 2

9929 Rea Rd
Ste 101
Waxhaw, NC 28173-6439
Phone (704) 316-1075

Other practice location 3

111 Central St
Sylva, NC 28779-5412
Phone (828) 586-7705

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chambrecht719009@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
I20150811005816 NC Practitioner - Physician Assistant 9638484256 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3149 Freedom Dr
Charlotte, NC 28208-3869
Phone (980) 302-9405

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001005637NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Mar 15, 2019 Accepting new patients
First Care Medical Clinic CurrentSince May 16, 2015 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Mar 15, 2019 Accepting new patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
Carolina Medicorp Enterprises LLC CurrentSince Mar 15, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 15, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

3149 Freedom Dr
Charlotte, NC 28208
Phone (980) 302-9405

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

404 S Sutherland Ave
Monroe, NC 28112

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

9929 Rea Rd
Ste 101
Waxhaw, NC 28173
Phone (704) 316-1055

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

2452 Fairlawn Ct
Winston Salem, NC 27106
Phone (336) 281-5965

50 Miller St
Ste C
Winston Salem, NC 27104
Phone (336) 310-5535

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

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

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1881087799",
    "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": "3149 FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083869",
            "telephone_number": "980-302-9405",
            "fax_number": "980-302-9406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 S Sutherland Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125060",
            "country_code": "US",
            "telephone_number": "704-291-9267",
            "fax_number": "704-283-7939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9929 Rea Rd",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736439",
            "country_code": "US",
            "telephone_number": "704-316-1075",
            "fax_number": "704-316-1076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Central St",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287795412",
            "country_code": "US",
            "telephone_number": "828-586-7705",
            "fax_number": "855-308-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBRECHT",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001005637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chambrecht719009@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "404 S Sutherland Ave",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.