Active NPI
Giavonni Alexis Virella, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5019847
- Practice address
- 6324 Fairview Rd Ste 460
Charlotte, NC 28210-3374 - Phone
- (980) 302-8611
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 95072003 | CA | |
| Nurse Practitioner | 363L00000X | 5019847 | NC | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95072003 | CA |
Addresses
Primary practice location
6324 Fairview Rd Ste 460
Charlotte, NC 28210-3374
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
1250 16th St
Santa Monica, CA 90404-1249
Phone (310) 825-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6324 Fairview Rd
Suite 460
Charlotte, NC 28210-3271
Phone (980) 302-8611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95072003 | CA | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Nurse Practitioner | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
6324 Fairview Rd
Ste 460
Charlotte, NC 28210
Phone (980) 302-8611
13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- gvirella141599@direct.novanthealth.org
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 and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Psychiatry Physician
- Charlotte, NC
- NPI 1720625890
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Nurse Practitioner
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1922793694",
"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": "6324 FAIRVIEW RD STE 460",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103374",
"telephone_number": "980-302-8611"
}
],
"practiceLocations": [
{
"address_1": "1250 16th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041249",
"country_code": "US",
"telephone_number": "310-825-9111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIRELLA",
"first_name": "GIAVONNI",
"middle_name": "ALEXIS",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "95072003",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5019847",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95072003",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.