Individual provider Active NPI

Annabelle J Tuley

  • Physician Assistant
  • Mooresville, NC
National Provider Identifier
1952191587
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-16313 Issued in NC
Practice address
150 Fairview Rd Ste 120
Mooresville, NC 28117-9505
Phone
(704) 659-4499
NPI assigned
May 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 0010-16313 NC Primary

Addresses

Primary practice location

150 Fairview Rd Ste 120
Mooresville, NC 28117-9505

Mailing address

205 Foster Ave Apt 615
Charlotte, NC 28203-6987
Phone (706) 617-7522

Other practice location 1

14330 Oakhill Park Ln Ste 125
Huntersville, NC 28078-3481
Phone (704) 659-4499

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
I20260511002339 NC Practitioner - Physician Assistant 5890263511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Carolinas Vein and Vascular Solutions PLLCGroup PAC ID 0446687115, 3 clinicians

Practice addresses (Care Compare)

14330 Oakhill Park LN
Suite 125
Huntersville, NC 28078-3481
Phone (704) 659-6808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-16313NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Vein & Vascular Solutions, PLLC CurrentSince Mar 2, 2026 Accepting new patients

Locations

14330 Oakhill Park Ln
Ste 125
Huntersville, NC 28078
Phone (704) 659-4499

150 Fairview Rd
Ste 120
Mooresville, NC 28117
Phone (704) 659-4499

Organizations & group practices 1

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1952191587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FOSTER AVE APT 615",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036987",
            "telephone_number": "706-617-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FAIRVIEW RD STE 120",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179505",
            "telephone_number": "704-659-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14330 Oakhill Park Ln Ste 125",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783481",
            "country_code": "US",
            "telephone_number": "704-659-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TULEY",
        "first_name": "ANNABELLE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-16313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.