Individual provider Active NPI

Kiah Carrothers

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1194530196
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
16455 Statesville Rd Ste 420
Huntersville, NC 28078-7140
Phone
(704) 892-2949
NPI assigned
Feb 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

16455 Statesville Rd Ste 420
Huntersville, NC 28078-7140

Mailing address

9803 Spring Park Dr
Charlotte, NC 28269-5156
Phone (704) 564-9863

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822002427 NC Practitioner - Physician Assistant 8527568682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of the Carolinas PLLCGroup PAC ID 0648178020, 78 clinicians

Practice addresses (Care Compare)

101 E W T Harris Blvd
Suite 5201
Charlotte, NC 28262-3422
Phone (704) 547-1495

Hospital & facility affiliations

  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of the Carolinas CurrentSince Jun 3, 2025 Accepting new patients

Locations

16455 Statesville Rd
Ste 420
Huntersville, NC 28078
Phone (704) 355-7874

Interoperability endpoints

  • Direct secure messaging: kcarrothers3027962@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: kcarrothers@urologyspecialistsnc.emadirect.md

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.

Hospital & facility affiliations 1

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": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1194530196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9803 SPRING PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695156",
            "telephone_number": "704-564-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 420",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787140",
            "telephone_number": "704-892-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROTHERS",
        "first_name": "KIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.