Individual provider Active NPI

Kim Crawford Stewart, DO, PHD

  • Sports Medicine (Family Medicine) Physician
  • Asheville, NC
National Provider Identifier
1124580097
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2024-02855 Issued in NC
Practice address
129 McDowell St
Asheville, NC 28801-4434
Phone
(828) 258-8800
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2024-02855 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

129 McDowell St
Asheville, NC 28801-4434

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (828) 258-8800

Other practice location 1

917 W Walnut St
Johnson City, TN 37604-6527
Phone (423) 952-6563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 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
I20211014000838 TN Practitioner - Family Practice 1052711314 Reassigns benefits to 1 organization
I20241101001302 NC Practitioner - Sports Medicine 1052711314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

129 McDowell St
Asheville, NC 28801-4434
Phone (828) 258-8800

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

Hospital & facility affiliations

  • Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Carepartners Rehabilitation Hospital Inpatient rehabilitation facility, Asheville, NC, CCN 343025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2024-02855NCMDSports Medicine (Family Medicine) Physician
4270TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Dec 2, 2024 Accepting new patients
Emergeortho PA CurrentSince Dec 2, 2024 Accepting new patients
Holston Medical Group PC Sports Medicine CurrentSince Oct 8, 2021 Accepting new patients

Locations

129 McDowell St
Asheville, NC 28801

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

9 Haywood Office Park
Waynesville, NC 28785

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

105 W Stone Dr
Ste 1F
Kingsport, TN 37660
Phone (423) 230-2420

Interoperability endpoints

  • Direct secure messaging: kim.stewart.1@847.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1124580097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "828-258-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014434",
            "telephone_number": "828-258-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 W Walnut St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046527",
            "country_code": "US",
            "telephone_number": "423-952-6563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIM",
        "middle_name": "CRAWFORD",
        "credential": "DO, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2024-02855",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.