HEATHER RENEE NOLAN MD
NPI 1992065932
Surgery - Pediatric Surgery in Charlotte, NC

Q: What is Heather Nolan's NPI number?

The NPI number for Heather Nolan is 1992065932. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Q: What is Heather Nolan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Heather Nolan was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 24, 2012PECOS Enrolled

1718 E 4TH ST STE 807, CHARLOTTE, NC 28204(980) 488-9630(980) 488-9635 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2021, Jun 6, 2017 (2 updates tracked since 2017).

On this page

About Heather Renee Nolan Md NPPES

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

HEATHER RENEE NOLAN MD (NPI 1992065932) is an individual pediatric surgery provider in Charlotte, North Carolina, licensed in North Carolina (2025-02273) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992065932

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameHEATHER RENEE NOLANCredential: MD

Location Address1718 E 4TH ST STE 807Charlotte, NC 28204-3280

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(980) 488-9630

Fax(980) 488-9635

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 24, 2012

Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1992065932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in NC · 2025-02273✔ Licensed in FL · ME140200

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License ME140200 (FL), 005449 (GA)

1718 E 4TH ST STE 807, Charlotte, NC 28204

Open in Google Maps ↗

Secondary Practice Locations 2

Location 15153 N 9th AvePensacola, FL 32504-8785 · Phone (850) 416-1575 · Fax (850) 416-6142

Location 2550 Redstone Ave W Ste 320Crestview, FL 32536-6442 · Phone (850) 416-1575 · Fax (850) 416-6142

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Renee Nolan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123284791

PECOS Enrollment IDI20250820000276

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.

Other Providers at the Same Location NPPES 8

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

DR. TUAN HOAI PHAM M.D., PHD

Surgery (Pediatric Surgery)