NOVANT HEALTH MIDTOWN OUTPATIENT SURGERY, LLC
NPI 1154206852
Clinic/Center - Ambulatory Surgical in Charlotte, NC

Active since August 11, 2025CLIA 34D2036660 · Waiver
1918 RANDOLPH RD STE 740, CHARLOTTE, NC 28207(704) 316-0810 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Novant Health Midtown Outpatient Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH MIDTOWN OUTPATIENT SURGERY, LLC (NPI 1154206852) is a healthcare organization registered as an ambulatory surgical in Charlotte, North Carolina and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Andrea Smith-jones, Vp Asc Operations, as its authorized official.

NPPES Registry Identity

NPI1154206852
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNOVANT HEALTH MIDTOWN OUTPATIENT SURGERY, LLC
Location Address1918 RANDOLPH RD STE 740Charlotte, NC 28207-1167
Mailing Address2085 Frontis Plaza Blvd Fl 3Winston Salem, NC 27103-5614 · (336) 277-8757
Organization SubpartNo
Authorized OfficialAndrea Smith-jonesVp Asc Operations · (704) 907-3705
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1154206852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1918 RANDOLPH RD STE 740, Charlotte, NC 28207

Other Names 1

Other NameNovant Health Outpatient Surgery

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2036660

Novant Health Midtown Outpatient Surgery · Charlotte, NC
Active · expires Feb 9, 2028
CLIA Number34D2036660
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorJacob Matthews
Laboratory Phone(704) 316-0810
Laboratory LocationNovant Health Midtown Outpatient Surgery1918 Randolph Road Suite #740, Charlotte, NC 28207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1918 RANDOLPH RD STE 740
CHARLOTTE, NC 28207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Health Midtown Outpatient Surgery, LLC's NPI number?

The NPI number for Novant Health Midtown Outpatient Surgery, LLC is 1154206852. It was assigned to this organization in the NPPES registry on August 11, 2025. The provider is also known as Novant Health Outpatient Surgery.

Where is Novant Health Midtown Outpatient Surgery, LLC located?

Novant Health Midtown Outpatient Surgery, LLC is located at 1918 Randolph Rd Ste 740, Charlotte, NC 28207. The listed phone number is (704) 316-0810.

What is Novant Health Midtown Outpatient Surgery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Novant Health Midtown Outpatient Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2036660) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Novant Health Midtown Outpatient Surgery, LLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.