Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andriy Omelyash

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1679207161

Andriy Omelyash is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2022, 4 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1918 Randolph Rd Ste 580
Charlotte, NC 28207-1116
Phone: (704) 384-9900
Fax: (704) 384-9919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 — (704) 384-4121

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5016568 (NC)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 275930 (NC)

Record details

NPI number1679207161
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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