Individual provider Active NPI

Heather Renee Nolan, MD

  • Pediatric Surgery Physician
  • Charlotte, NC
National Provider Identifier
1992065932
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
2025-02273 Issued in NC
Practice address
1718 E 4TH St Ste 807
Charlotte, NC 28204-3280
Phone
(980) 488-9630
Fax
(980) 488-9635
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME140200 FL
Surgery Physician 208600000X 005449 GA
Pediatric Surgery Physician 2086S0120X ME140200 FL
Pediatric Surgery Physician 2086S0120X 2025-02273 NC Primary

Addresses

Primary practice location

1718 E 4TH St Ste 807
Charlotte, NC 28204-3280

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

5153 N 9th Ave
Pensacola, FL 32504-8785
Phone (850) 416-1575

Other practice location 2

550 Redstone Ave W Ste 320
Crestview, FL 32536-6442
Phone (850) 416-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210708001029 FL Practitioner - General Surgery 8123284791
I20250820000276 NC Practitioner - General SurgeryPractitioner - Pediatric Medicine 8123284791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3545 Whitehall Park D
Suite 300
Charlotte, NC 28273-4179

3545 Whitehall Park Dr
Suite 300
Charlotte, NC 28273-4179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Surgery CurrentSince Jun 14, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 14, 2025 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

550 Redstone Ave W
Ste 320
Crestview, FL 32536
Phone (850) 689-3123

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

1718 E 4th St
Ste 807
Charlotte, NC 28204
Phone (704) 375-5755

3545 Whitehall Park Dr
Ste 300
Charlotte, NC 28273
Phone (704) 316-6187

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

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

Interoperability endpoints

  • Direct secure messaging: hnolan1699578@direct.novanthealth.org
  • Direct secure messaging: hnolan733854@direct.hopkinsmedicine.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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1992065932",
    "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": "1718 E 4TH ST STE 807",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043280",
            "telephone_number": "980-488-9630",
            "fax_number": "980-488-9635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5153 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048785",
            "country_code": "US",
            "telephone_number": "850-416-1575",
            "fax_number": "850-416-6142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Redstone Ave W Ste 320",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325366442",
            "country_code": "US",
            "telephone_number": "850-416-1575",
            "fax_number": "850-416-6142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME140200",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "005449",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME140200",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NC",
            "license": "2025-02273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.