Active NPI
Kandi Terell Knightshead, MD
- Anesthesiology Physician
- Elkin, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 164223
- Practice address
- 180 Parkwood Dr
Elkin, NC 28621-2430 - Phone
- (336) 527-7541
- Fax
- (336) 526-6130
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 164223 | NC | Primary |
Addresses
Primary practice location
180 Parkwood Dr
Elkin, NC 28621-2430
Mailing address
180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818001080 | NC | Practitioner - Anesthesiology | 5890829311 | Reassigns benefits to 2 organizations |
| I20230314002355 | AL | Practitioner - Anesthesiology | 5890829311 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000
75 Shell St
Suite 100
Saraland, AL 36571-2202
Phone (251) 481-6231
Hospital & facility affiliations
- USA Health University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164223 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Amsol Physicians of Elkin NC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Current | Accepting new patients | |
| USA Health Anesthesia Billing Services, LLC | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Lifelinc Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Amsol Anesthetists of Georgia, LLC | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Infirmary ASC - Saraland, LLC | Past | Accepting new patients |
Locations
1700 Center St
Mobile, AL 36604
Phone (251) 415-1000
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
75 Shell St
Ste 100
Saraland, AL 36571
Phone (251) 481-6231
180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000
16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
Interoperability endpoints
- kknightshead@crhn.cernerdirect.com
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1629635818
AL, Anesthesiology
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
Anesthesiology, NC
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1538124201
Anesthesiology, NC
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1932402195
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
-
- Ambulatory Surgical Clinic/Center
- Saraland, AL
- NPI 1578328712
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1104030998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PARKWOOD DR",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212430",
"telephone_number": "336-527-7541",
"fax_number": "336-526-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PARKWOOD DR",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212430",
"telephone_number": "336-527-7541",
"fax_number": "336-526-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHTSHEAD",
"first_name": "KANDI",
"middle_name": "TERELL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "164223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.