Active NPI
Kirsten M. Gross, MD
- Emergency Medicine Physician
- Charlotte, NC
National Provider Identifier
1194705053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 38264
- Practice address
- 9550 Rocky River Rd Ste 150
Charlotte, NC 28215 - Phone
- (704) 316-5281
- Fax
- (704) 316-5283
- NPI assigned
- Jan 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 38264 | NC | Primary |
Addresses
Primary practice location
9550 Rocky River Rd Ste 150
Charlotte, NC 28215
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
1918 Randolph Rd
Suite 175
Charlotte, NC 28207-1100
Phone (704) 316-1050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N38264 | Medicaid | SC | |
| 7937732 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38264 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Emergency Medical Associates, PA | Emergency Medicine | Past | Accepting new patients |
| Iredell Memorial Hospital, Incorporated | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1801822523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1194705053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 ROCKY RIVER RD STE 150",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28215",
"telephone_number": "704-316-5281",
"fax_number": "704-316-5283"
}
],
"practiceLocations": [
{
"address_1": "1918 Randolph Rd",
"address_2": "Suite 175",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071100",
"country_code": "US",
"telephone_number": "704-316-1050",
"fax_number": "704-316-1051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSS",
"first_name": "KIRSTEN",
"middle_name": "M.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "38264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N38264",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7937732",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.