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

Dr. Payton Gregory Fennell, DO

Individual provider Family Medicine Physician · NPI 1306906086

Dr. Payton Gregory Fennell, DO practises Sports Medicine in Charlotte, North Carolina. Graduated from Philadelphia College of Osteopathic Medicine in 2005, 21 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and works from 3 locations. Licensed in North Carolina.

Years since qualifying
21
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4741 Randolph Rd
Charlotte, NC 28211-2919
Phone: (704) 365-6730
Fax: (704) 365-6731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5641 Poplar Tent Rd, Concord, NC 28027-7533 — (704) 782-1955
  • 52 12th Ave Ne, Hickory, NC 28601 — (828) 485-3004

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 200601317 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 200601317 (NC)

Record details

NPI number1306906086
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedDecember 11, 2006
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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