Individual provider Active NPI

Kandi Terell Knightshead, MD

  • Anesthesiology Physician
  • Elkin, NC
National Provider Identifier
1104030998
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
164223 Issued in NC
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

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 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
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
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians
Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians

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 Hospital, Mobile, AL, CCN 010087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
164223NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Anesthesiology Current Accepting new patients
Amsol Physicians of Elkin NC Anesthesiology CurrentSince Nov 6, 2020 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Jul 12, 2022 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center CurrentSince Jun 1, 2024 Accepting new patients
USA Health Anesthesia Billing Services, LLC Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Sep 15, 2020 Accepting new patients
Lifelinc Anesthesia, PLLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Amsol Anesthetists of Georgia, LLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Sep 15, 2020 Accepting new patients
Infirmary ASC - Saraland, LLC PastSince Sep 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.