Individual provider Active NPI

Kevin Antonio Lopez-Shirley, M.D.

  • Hospitalist Physician
  • Albemarle, NC
National Provider Identifier
1083620462
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2008-01556 Issued in NC
Practice address
301 Yadkin St
Carolinas Hospitalist Group - Stanly
Albemarle, NC 28001-3441
Phone
(704) 984-4365
Fax
(704) 983-7856
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2008-01556 NC
Internal Medicine Physician 207R00000X 202266 NY
Internal Medicine Physician 207R00000X 33290 SC
Hospitalist Physician 208M00000X 2008-01556 NC Primary

Addresses

Primary practice location

301 Yadkin St
Carolinas Hospitalist Group - Stanly
Albemarle, NC 28001-3441

Mailing address

PO Box 601643
Charlotte, NC 28260-1643
Phone (704) 984-4365

Other practice location 1

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4780

Other identifiers 6

IdentifierTypeStateIssuer
2023307BOtherMEDICARE PTAN, INDIVIDUAL
1872287MedicaidPA
2023307OtherNCMEDICARE PTAN
Q0155EMedicaidSC
01749320MedicaidNY
5910822MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090126000730 NC Practitioner - HospitalistPractitioner - Internal Medicine 4183708902 Reassigns benefits to 8 organizations
I20110408000518 SC Practitioner - Internal Medicine 4183708902 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 210-5061

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202266NYMDInternal Medicine Physician
33290SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina Emergency Physicians, PLLC CurrentSince Mar 15, 2009 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Self Medical Group Current Accepting new patients
Care Talk Health FL PA CurrentSince Feb 1, 2024 Accepting new patients
Self Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Apogee Medical Group South Carolina Internal Medicine CurrentSince Aug 30, 2016 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Dec 1, 2019 Accepting new patients
Complexcare Medical Group Mid-Atlantic H PLLC Internal Medicine CurrentSince Dec 29, 2025 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Dec 1, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2013 Accepting new patients
Self Medical Group Hospitalist CurrentSince Jul 1, 2025 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Feb 1, 2013 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Dec 25, 2023 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Aug 15, 2020 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Jun 19, 2014 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Greens at Hickory LLC Past Accepting new patients
York Physician Services PC Hospitalist Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Anmed Health Past Accepting new patients
Theoria Medical Internal Medicine Past Accepting new patients
Lenoir HM Services LLC Hospitalist Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations (25 of 31)

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

75 Remittance Dr
Dept 6764
Chicago, IL 60675

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

301 Yadkin St
Ste B
Albemarle, NC 28001
Phone (704) 983-4365

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

515 S Generals Blvd
Lincolnton, NC 28092
Phone (704) 733-8065

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

1010 Lakeview Dr
Pineville, NC 28134
Phone (704) 889-2273

320 N Main St
Rich Square, NC 27869
Phone (252) 439-4161

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

215 Lash Dr
Salisbury, NC 28147
Phone (704) 637-1182

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

417 Cloverdale Rd
Sylva, NC 28779
Phone (410) 992-0500

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: klopezshirley574423@selfregional.direct-ci.net
  • Direct secure messaging: klopezshriley38022@direct.anmedhealth.net

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 27

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1083620462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601643",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601643",
            "telephone_number": "704-984-4365",
            "fax_number": "704-983-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YADKIN ST",
            "address_2": "CAROLINAS HOSPITALIST GROUP - STANLY",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013441",
            "telephone_number": "704-984-4365",
            "fax_number": "704-983-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-725-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-SHIRLEY",
        "first_name": "KEVIN",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-01556",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "202266",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "33290",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-01556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL",
            "identifier": "2023307B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1872287",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2023307",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0155E",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01749320",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910822",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.