| Katherine Okey Addison, MD | |
| 
					200 Hawthorne Ln, Charlotte, NC 28204-2515  | |
| (704) 384-7508 | |
| (704) 384-8666 | 
| Full Name | Katherine Okey Addison | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 200 Hawthorne Ln, Charlotte, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881790574 | NPI | - | NPPES | 
| 5904783 | Medicaid | NC | |
| N0111D | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 200601112 (North Carolina) | Primary | 
| Entity Name | Novant Health Medical Group, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692  | 
| Entity Name | Nh Digital Health Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Katherine Okey Addison, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7508  | Katherine Okey Addison, MD 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-7508  | 
Kristina Jasmin Harrell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1422  | |
Amanda Marie Sebring, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840  | |
Fnu Pardeep, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277 Phone: 704-667-2600  | |
Nicole Ludmil Ivanov, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9908 Couloak Dr, Ste 103, Charlotte, NC 28216 Phone: 704-801-2025  | |
Dr. Kathy Garland Mohanty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 350, Charlotte, NC 28210 Phone: 704-384-8600 Fax: 704-384-8610  | |
Dr. Meredith Givens Pochick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3129 Springbank Ln Ste 100, Charlotte, NC 28226 Phone: 704-384-5151 Fax: 704-316-2905  | |
Dr. Shana Dale Wallace, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207 Phone: 704-384-1390 Fax: 704-384-1063  |