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CAROLYN JOHNSTON HIGHSTONE
NPI 1194431239
Nurse Practitioner - Adult Health in Charlotte, NC

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment
6429 BANNINGTON RD, CHARLOTTE, NC 28226(704) 503-9338(704) 503-9339 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2023, Jan 23, 2023 (2 updates tracked since 2023).

About Carolyn Johnston Highstone NPPES

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

CAROLYN JOHNSTON HIGHSTONE (NPI 1194431239) is an individual adult health provider in Charlotte, North Carolina, licensed in North Carolina (5017368) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194431239
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROLYN JOHNSTON HIGHSTONE
Location Address6429 BANNINGTON RDCharlotte, NC 28226-1344
Mailing Address6429 Bannington RdCharlotte, NC 28226-1344 · (704) 503-9338 · Fax (704) 503-9339
Phone(704) 503-9338
Fax(704) 503-9339
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 23, 2023
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1194431239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5017368
6429 BANNINGTON RD, Charlotte, NC 28226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Johnston Highstone is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092172403
PECOS Enrollment IDI20230530002866
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Carolyn Highstone reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amara Pain & Spine PLLC
Same address
Pain Medicine
6429 BANNINGTON RD STE B, NONE
Charlotte, NC 28226
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1417371154 (646) 283-1344
Eventus Wholehealth Aco LLC
27 mi
Geriatric Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 169 clinicians in this Medicare group
NPI 1023796307 (855) 743-2247
Telos Health Systems Nc PLLC
33 mi
Internal Medicine
550 GLENWOOD DR
Mooresville, NC 28115
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Vitae Health Medical North Carolina PLLC
  • 121 clinicians in this Medicare group
NPI 1265064414 (201) 217-6777
Physicians Services Group, P.C.
86 mi
Multi-Specialty
2 GRIFFITH RD
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Physicians Services Group PC
  • 80 clinicians in this Medicare group
NPI 1700357076 (864) 688-3988
Psgsc Mssp, P.C.
86 mi
Multi-Specialty
2 GRIFFITH RD
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Psgsc Mssp PC
  • 73 clinicians in this Medicare group
NPI 1417839754 (864) 316-8984
Careconnectmd South Carolina P.C.
164 mi
Geriatric Medicine
1240 WINNOWING WAY UNIT 102
Mt Pleasant, SC 29466
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Careconnectmd South Carolina PC
  • 64 clinicians in this Medicare group
NPI 1306565973 (888) 789-9585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
338 services36 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
293 services65 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
60 services12 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
53 services47 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
39 services17 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
37 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CENTER FOR QUALITY OF LIFE ISSUES PLLC
Internal Medicine
6429 BANNINGTON RD, STE B
CHARLOTTE, NC 28226
Mecklenburg County (704) 540-0224
BINYAM NUGUSIE
Nurse Practitioner (Gerontology)
6429 BANNINGTON RD
CHARLOTTE, NC 28226
Mecklenburg County (704) 503-9338

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 Carolyn Highstone's NPI number?

The NPI number for Carolyn Highstone is 1194431239. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Carolyn Highstone located?

Carolyn Highstone practices at 6429 Bannington Rd, Charlotte, NC 28226. The listed phone number is (704) 503-9338.

What is Carolyn Highstone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carolyn Highstone enrolled in Medicare?

Yes. Carolyn Highstone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carolyn Highstone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Highstone reassigns Medicare benefits to 6 organizations: Amara Pain & Spine PLLC (Charlotte, NC), Eventus Wholehealth Aco LLC (Concord, NC), Telos Health Systems Nc PLLC (Mooresville, NC), Physicians Services Group, P.C. (Greenville, SC), Psgsc Mssp, P.C. (Greenville, SC) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Highstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Highstone accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Carolyn Highstone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carolyn Highstone affiliated with any hospitals?

According to CMS data, Carolyn Highstone is affiliated with Mcleod Regional Medical Center-Pee Dee.

When was this NPI record last updated?

The NPPES record for Carolyn Highstone was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.