ST JUDE AFFILIATE CLINIC AT NOVANT HEALTH HEMBY CHILDRENS HOSPITAL
NPI 1528467586
Pediatrics - Pediatric Hematology-Oncology in Charlotte, NC

Active since August 15, 2014CLIA 34D0998874 · Accreditation
301 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-1900(704) 384-1919 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, Aug 17, 2021 (2 updates tracked since 2021).

About St Jude Affiliate Clinic At Novant Health Hemby Childrens Hospital NPPES

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

ST JUDE AFFILIATE CLINIC AT NOVANT HEALTH HEMBY CHILDRENS HOSPITAL (NPI 1528467586) is a healthcare organization registered as a pediatric hematology-oncology in Charlotte, North Carolina and active in the NPI registry since August 2014. The organization holds an CLIA Accreditation certificate valid through January 28, 2027 and lists Leea Jeanine Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1528467586
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NameTHE PRESBYTERIAN HOSPITAL
Location Address301 HAWTHORNE LNCharlotte, NC 28204-2450
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840
Fax(704) 384-1919
Organization SubpartNo
Authorized OfficialLeea Jeanine WaltonRcs Manager · (704) 316-6081
Enumeration DateAugust 15, 2014
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1528467586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
301 HAWTHORNE LN, Charlotte, NC 28204

Other Names 1

Doing Business AsSt Jude Affiliate Clinic At Novant Health Hemby Childrens Hospital

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Jude Affiliate Clinic At Novant Health Hemby Childrens Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20040223001121Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

925

Medicare enrollment records show 925 clinicians reassign Medicare billing to St Jude Affiliate Clinic At Novant Health Hemby Childrens Hospital, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 350 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Certified Registered Nurse Anesthetist (CRNA)546
Nurse Practitioner91
Cardiovascular Disease (Cardiology)75
Hematology/Oncology29
Hospitalist25
Internal Medicine22
Interventional Cardiology21
Cardiac Electrophysiology11
26 other specialties105

Nearest to this location (20)

See all 925
Pediatric Medicine
NPI 1124289079
301 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Hematology/Oncology
NPI 1093921744
301 HAWTHORNE LN SUITE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Cardiac Surgery
NPI 1306108899
301 HAWTHORNE LN STE 200
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1114312436
301 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Nurse Practitioner
NPI 1225136120
301 HAWTHORNE LN SUITE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Hematology/Oncology
NPI 1528038205
301 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366776833
301 HAWTHORNE LN SUITE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Thoracic Surgery
NPI 1083875058
301 HAWTHORNE LANE SUITE 200
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487675534
301 HAWTHORNE LN SUITE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Hematology/Oncology
NPI 1750439345
301 HAWTHORNE LN SUITE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Hematology/Oncology
NPI 1700237336
301 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOSSame address
Nurse Practitioner
NPI 1124530738
301 HAWTHORNE LN STE 100
Charlotte, NC 28204
(704) 384-1900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043512734
301 HAWTHORNE LN SUITE 200
Charlotte, NC 28204
(704) 316-5100
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1538659420
325 HAWTHORNE LN STE 300
Charlotte, NC 28204
(704) 372-5180
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1770146359
325 HAWTHORNE LN STE 300
Charlotte, NC 28204
(704) 372-5180
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1619231321
325 HAWTHORNE LN STE 300
Charlotte, NC 28204
(704) 372-5180
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114271392
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-4000
✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1669045936
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-6478
✔ PECOS✔ Accepts Medicare0.2 mi
Hospitalist
NPI 1932445954
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-5416
✔ PECOS✔ Accepts Medicare0.2 mi
Hospice/Palliative Care
NPI 1598206914
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-6478
✔ PECOS✔ Accepts Medicare0.2 mi
See all 925 clinicians

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

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 Accreditation 34D0998874

St Jude Affiliate Clinic At Novant Health Hemby Children's Hospital · Charlotte, NC
Active · expires Jan 28, 2027
CLIA Number34D0998874
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorPatrick Wilson
Laboratory Phone(704) 384-1900
Laboratory LocationSt Jude Affiliate Clinic At Novant Health Hemby Children's Hospital301 Hawthorne Lane, Suite 100, Charlotte, NC 28204
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 The Presbyterian Hospital's NPI number?

The NPI number for The Presbyterian Hospital is 1528467586. It was assigned to this organization in the NPPES registry on August 15, 2014. The provider is doing business as St Jude Affiliate Clinic At Novant Health Hemby Childrens Hospital.

Where is The Presbyterian Hospital located?

The Presbyterian Hospital is located at 301 Hawthorne Ln, Charlotte, NC 28204. The listed phone number is (704) 384-1900.

What is The Presbyterian Hospital's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is The Presbyterian Hospital enrolled in Medicare?

Yes. The Presbyterian Hospital is registered in the Medicare PECOS enrollment system.

When is The Presbyterian Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Presbyterian Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 925 clinicians in 34 Medicare specialties reassign their Medicare billing to The Presbyterian Hospital. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (546), Nurse Practitioner (91) and Cardiovascular Disease (Cardiology) (75). Of these, 16 practice at this address and 350 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Presbyterian Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D0998874) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does The Presbyterian Hospital accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list The Presbyterian Hospital 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.

When was this NPI record last updated?

The NPPES record for The Presbyterian Hospital was last updated on July 12, 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.