NPIMap

Organization Active NPI

The Presbyterian Hospital

Doing business as Novant Health Presbyterian Medical Center - Skilled Nursing Unit

  • Skilled Nursing Facility
  • Charlotte, NC
National Provider Identifier
1891871901
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE PRESBYTERIAN HOSPITAL
Doing business as
Novant Health Presbyterian Medical Center - Skilled Nursing Unit
Practice address
200 Hawthorne Lane
Charlotte, NC 28204-1101
Phone
(704) 384-4000
NPI assigned
Oct 31, 2006
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PRESBYTERIAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Jamie Feinour
Title
Facility President
Phone
(336) 277-8757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NC Primary

Addresses

Primary practice location

200 Hawthorne Lane
Charlotte, NC 28204-1101

Mailing address

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone (336) 277-8757

Other names 1

  • Novant Health Presbyterian Medical Center - Skilled Nursing Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061218000496 NC Part A Provider - Hospital 1153231907 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20180202001896 NC Part A Provider - Skilled Nursing Facility 1153231907 Practice locations: Charlotte, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1891871901. Details of each certification follow.

Hospital certification: CCN 340053

Legal name
THE PRESBYTERIAN HOSPITAL
Doing business as
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 4, 2011
Beds
877
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1903 in NC
Enrollment address
200 Hawthorne Lane
Charlotte, NC 28204-2515
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric unit, Specialty hospital, Other

Skilled nursing facility certification: CCN 345467

Legal name
THE PRESBYTERIAN HOSPITAL
Doing business as
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 31, 1994
Last certification
Aug 15, 2024
Beds
16 (12 certified)
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Novant Health
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1903 in NC
Enrollment address
200 Hawthorne Lane
Charlotte, NC 28204-2515
Nursing home name
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER-SNU

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Novant Health Presbyterian Medical CenterCCN 340053 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Nursing home

Medicare Care Compare
Listed as
Novant Health Presbyterian Medical Center-SnuCCN 345467 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 31, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
129.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Presbyterian Hosp Sup

Locations

1901 Randolph Rd
Fl Second
Charlotte, NC 28207

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James C Johnson Individual Corporate DirectorBot Jan 1, 2017
Corporate Director Jan 1, 2017
Kandi Deitemeyer Individual Corporate OfficerTrustee Jan 1, 2021
Carl S Armato Individual Corporate Director Jan 1, 2017
W-2 Managing EmployeePresident & Ceo Jan 1, 2012
Operational/Managerial ControlPresident & Ceo Jan 1, 2012
Corporate Director Jan 1, 2012
Kimberly a Case Individual Corporate DirectorBot Member May 1, 2021
Thaddeus Vontrell Jones Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate DirectorTrustee Jan 1, 2021
John Morgan Lewis Individual Corporate DirectorTreasurer Jan 1, 2018
Corporate DirectorChair Jan 1, 2021
James Patrick Taylor Individual Corporate DirectorBoard Member Jan 1, 2019
Corporate DirectorVice Chair Jan 1, 2021
Patrick a Wilson Individual Corporate Director May 1, 2023
Corporate DirectorBot Member May 1, 2023
Marsha Janelle Lyons Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate DirectorTrustee Jan 1, 2021
Louis G Lobo Individual Corporate DirectorBot Jan 1, 2020
Corporate DirectorTrustee Jan 1, 2020
Novant Health, Inc. Organization, Winston Salem, NC Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2007 100%
Adp of the SNF May 15, 2025
Jamie Feinour Individual Corporate OfficerPresident Nhpmc Mar 23, 2025
W-2 Managing Employee Mar 23, 2025
Corporate Director Mar 25, 2025
Saad Ehtisham Individual Corporate OfficerBot Pres Apr 9, 2019
Corporate DirectorBot President Jan 1, 2021
Trustee of the SNF Jan 1, 2025
Tera Black Individual Corporate DirectorBot Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Novant Health Southern Piedmont Region, LLC Organization, Winston Salem, NC Corporation Operational/Managerial Control Mar 22, 2014
Srivatsatejaswi Gundala Individual Operational/Managerial Control Feb 14, 2023
Adp of the SNF Feb 14, 2023

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1,801

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,801

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1891871901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "336-277-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LANE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282041101",
            "telephone_number": "704-384-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRESBYTERIAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PRESBYTERIAN HOSPITAL",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "FEINOUR",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "FACILITY PRESIDENT",
        "authorized_official_telephone_number": "336-277-8757"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Presbyterian Medical Center - Skilled Nursing Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.