Active NPI
Kristin Kathleen Teague, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-02551
- Practice address
- 325 Hawthorne LN Ste 100
Charlotte, NC 28204-2536 - Phone
- (704) 316-7760
- Fax
- (704) 316-7761
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 001002551 | NC | |
| Physician Assistant | 363A00000X | 0010-02551 | NC | Primary |
Addresses
Primary practice location
325 Hawthorne LN Ste 100
Charlotte, NC 28204-2536
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
125 Queens Rd Ste 540
Charlotte, NC 28204-3215
Phone (980) 302-6560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164730487 | Medicaid | NC | |
| 8102004 | Medicaid | NC | |
| 1102PA | Medicaid | SC |
Other names 1
- Kristin Kathleen Lang
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klang258140@direct.novanthealth.org |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Queens Rd
Charlotte, NC 28204-3215
200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
325 Hawthorne LN
Suite 100
Charlotte, NC 28204-2536
Phone (704) 316-7760
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
885 Summit Crossing PL
Gastonia, NC 28054-2193
Phone (704) 384-8200
885 Summit Crossing Place
Gastonia, NC 28054-2193
Phone (704) 316-4979
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
- Novant Health Mint Hill Medical Center
- Novant Health Matthews Medical Center
- Novant Health Ballantyne Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-02551 | NC | MD | Physician Assistant |
| 001002551 | NC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
125 Queens Rd
Ste 540
Charlotte, NC 28204
Phone (980) 302-6560
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
325 Hawthorne Ln
Ste 100
Charlotte, NC 28204
Phone (704) 316-7763
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Cardiovascular Disease Physician
- Monroe, NC
- NPI 1598080087
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1538792213
-
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1457695264
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1164730487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 HAWTHORNE LN STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042536",
"telephone_number": "704-316-7760",
"fax_number": "704-316-7761"
}
],
"practiceLocations": [
{
"address_1": "125 Queens Rd Ste 540",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043215",
"country_code": "US",
"telephone_number": "980-302-6560",
"fax_number": "980-302-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEAGUE",
"first_name": "KRISTIN",
"middle_name": "KATHLEEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "001002551",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-02551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164730487",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8102004",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1102PA",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klang258140@direct.novanthealth.org",
"affiliation": "N",
"address_1": "125 Queens Rd Ste 540",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "LANG",
"middle_name": "KATHLEEN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.