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

Mr. Jonathan Brockmeyer Mardis, DNP, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1215746698

Mr. Jonathan Brockmeyer Mardis, DNP, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Novant Health Matthews Medical Center LLC, a 77-clinician group. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 152511 (MS)

Record details

NPI number1215746698
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , CRNA
Sole proprietorYes
NPI enumeratedDecember 31, 2024
Last updated in NPPESDecember 31, 2024
Certification dateDecember 31, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Novant Health Matthews Medical Center Llc — 77 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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