Individual provider Active NPI

K'Shylah Shebreeyce Whitehurst, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Chapel Hill, NC
National Provider Identifier
1124763768
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
2025-00940 Issued in NC
Practice address
260 Macnider Hall CB# 7220 333 South Columbia St
Chapel Hill, NC 27599-0001
Phone
(919) 966-1505
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NC
Pediatrics Physician 208000000X 2025-00940 NC
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 2025-00940 NC Primary

Addresses

Primary practice location

260 Macnider Hall CB# 7220 333 South Columbia St
Chapel Hill, NC 27599-0001

Mailing address

2525 Booker Creek Rd Apt 11C
Chapel Hill, NC 27514-5103

Other practice location 1

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251001000532 NC Practitioner - Pediatric Medicine 8729467543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5221 Paramount Pkwy
Suite 420
Morrisville, NC 27560-4704

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-00940NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Pediatrics CurrentSince Jun 25, 2025 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

6013 Farrington Rd
Ste 301
Chapel Hill, NC 27517
Phone (984) 974-4191

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

Interoperability endpoints

  • Direct secure messaging: kwhitehurst873761@direct.unc.nchie.net
  • Direct secure messaging: kwhitehurst411829@directhisp.wakemed.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1124763768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BOOKER CREEK RD APT 11C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MACNIDER HALL CB# 7220 333 SOUTH COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 WESTERN BLVD",
            "address_purpose": "LOCATION",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338",
            "country_code": "US",
            "telephone_number": "910-577-2345",
            "fax_number": "910-577-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "K'SHYLAH",
        "middle_name": "SHEBREEYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2025-00940",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NC",
            "license": "2025-00940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.