Individual provider Active NPI

Kaelyn Nicole Sexton, CNM

  • Advanced Practice Midwife
  • Gastonia, NC
National Provider Identifier
1164066775
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
745 Issued in NC
Practice address
2525 Court Dr
Gastonia, NC 28054-2140
Phone
(704) 834-2000
Fax
(704) 834-2500
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25463 SC
Advanced Practice Midwife 367A00000X 745 NC Primary

Addresses

Primary practice location

2525 Court Dr
Gastonia, NC 28054-2140

Mailing address

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Other practice location 1

991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (980) 834-7350

Other practice location 2

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211112000204 SC Practitioner - Certified Nurse Midwife (CNM) 0648604256
I20240410000496 NC Practitioner - Certified Nurse Midwife (CNM) 0648604256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg North Carolina PCGroup PAC ID 3577721034, 21 clinicians

Practice addresses (Care Compare)

2525 Court Dr
Gastonia, NC 28054-2140
Phone (864) 908-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
745NCMDAdvanced Practice Midwife
25463SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Current Accepting new patients
Obhg North Carolina, P.C. CurrentSince Apr 8, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Apr 8, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Apr 8, 2024 Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

991 W Hudson Blvd
Ste 70B
Gastonia, NC 28052
Phone (980) 834-7350

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Organizations & group practices 5

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1164066775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2000",
            "fax_number": "704-834-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2000",
            "fax_number": "704-834-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 W Hudson Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280526430",
            "country_code": "US",
            "telephone_number": "980-834-7350",
            "fax_number": "980-834-9894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEXTON",
        "first_name": "KAELYN",
        "middle_name": "NICOLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-03-14",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "25463",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.