Active NPI
Heather Renee Nolan, MD
- Pediatric Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 2025-02273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Surgery | Current | 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 | Current | 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
- hnolan1699578@direct.novanthealth.org
- 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Surgery Physician
- Charlotte, NC
- NPI 1063134344
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Specialist
- Missoula, MT
- NPI 1376946913
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.