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

Heather Renee Nolan, MD

Individual provider Surgery Physician · NPI 1992065932

Heather Renee Nolan, MD is a General Surgery in Charlotte, North Carolina. Qualified in 2012, 14 years ago. Works from 3 locations. Licensed in Florida, Georgia and North Carolina.

Years since qualifying
14
Licensed in
FL, GA, NC
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1718 E 4th St Ste 807
Charlotte, NC 28204-3280
Phone: (980) 488-9630
Fax: (980) 488-9635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 550 Redstone Ave W Ste 320, Crestview, FL 32536-6442 — (850) 416-1575
  • 5153 N 9th Ave, Pensacola, FL 32504-8785 — (850) 416-1575

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 2025-02273 (NC)
Surgery Physician Taxonomy 208600000X · Licence ME140200 (FL)
Surgery Physician Taxonomy 208600000X · Licence 005449 (GA)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence ME140200 (FL)

Record details

NPI number1992065932
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2012
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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