NPIMap

Organization Active NPI

Novant Health Mint Hill Medical Center, LLC

Doing business as Novant Health Mint Hill Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
National Provider Identifier
1972001469
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NOVANT HEALTH MINT HILL MEDICAL CENTER, LLC
Doing business as
Novant Health Mint Hill Medical Center
Practice address
8201 Healthcare Loop
Charlotte, NC 28215-7072
Phone
(980) 302-1000
Fax
(980) 302-1001
NPI assigned
Jan 30, 2018
Last updated
Feb 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Allison Joy Greear
Title
Pres & Coo
Phone
(704) 384-4089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

8201 Healthcare Loop
Charlotte, NC 28215-7072

Mailing address

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone (336) 277-7226

Other names 1

  • NOVANT HEALTH MINT HILL MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180629001548 NC Part A Provider - Hospital 8123374394 Practice locations: Charlotte, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972001469. Details of each certification follow.

Hospital certification: CCN 340190

Legal name
NOVANT HEALTH MINT HILL MEDICAL CENTER, LLC
Doing business as
NOVANT HEALTH MINT HILL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 21, 2018
Last certification
Nov 21, 2018
Beds
36
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Incorporated
Jul 13, 2006 in NC
Enrollment address
8201 Healthcare Loop
Charlotte, NC 28215-7072
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Novant Health Mint Hill Medical CenterCCN 340190 · 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

National Provider Directory

National Provider Directory
Tax ID family
Novant Health Mint Hill Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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 Member Jan 1, 2017
Kandi Deitemeyer Individual Corporate DirectorBot Vice Chair Jan 1, 2021
Carl S Armato Individual Corporate DirectorBot Member Jan 1, 2018
Kimberly a Case Individual Corporate DirectorBot Member May 1, 2021
Thaddeus Vontrell Jones Individual Corporate DirectorBot Member Jan 1, 2018
John Morgan Lewis Individual Corporate DirectorBot Ipc Jan 1, 2018
James Patrick Taylor Individual Corporate DirectorBot Chair Jan 1, 2019
Patrick a Wilson Individual Corporate DirectorBot Member May 1, 2023
Marsha Janelle Lyons Individual Corporate DirectorBot Member Jan 1, 2018
Louis G Lobo Individual Corporate DirectorBot Member Jan 1, 2020
Novant Health, Inc. Organization, Winston Salem, NC Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2018 100%
Allison Joy Greear Individual Corporate OfficerPresident & Coo Jan 1, 2018
W-2 Managing EmployeePresident & Coo Jan 1, 2018
Saad Ehtisham Individual Corporate DirectorBot President Jan 1, 2021
Tera Black Individual Corporate DirectorBot Member Jan 1, 2025
Novant Health Southern Piedmont Region, LLC Organization, Winston Salem, NC Non-profit Operational/Managerial Control Oct 1, 2018

Owners & managing parties with NPI records 3

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 4

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 530

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

View all 530

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1972001469",
    "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": "336-277-7226",
            "fax_number": "336-277-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HEALTHCARE LOOP",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157072",
            "telephone_number": "980-302-1000",
            "fax_number": "980-302-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH MINT HILL MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "GREEAR",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRES & COO",
        "authorized_official_telephone_number": "704-384-4089"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVANT HEALTH MINT HILL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.