Active NPI
Kimberly Ann McCrea, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 9400574
- Practice address
- 1918 Randolph Rd Ste 580
Charlotte, NC 28207-1116 - Phone
- (704) 384-9900
- Fax
- (704) 384-9919
- NPI assigned
- Mar 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9400574 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 9400574 | NC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 9400574 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd Ste 580
Charlotte, NC 28207-1116
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9900
Other practice location 1
1900 Randolph Rd
Suite 580
Charlotte, NC 28207-1122
Phone (704) 384-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8958227 | Medicaid | NC | |
| N00574 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KMCCREA15006@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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Medical University of South Carolina College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1918 Randolph Rd
Suite 580
Charlotte, NC 28207-1116
Phone (704) 384-9900
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
- Novant Health Huntersville Medical Center
- Novant Health Ballantyne Medical Center
- Novant Health Matthews Medical Center
- Novant Health Mint Hill Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400574 | NC | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Critical Care Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
11840 Southmore Dr
Ste 201
Charlotte, NC 28277
Phone (704) 316-9001
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
201 Queens Rd
Charlotte, NC 28204
Phone (704) 316-5285
1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113
10030 Gilead Rd
Ste 300
Huntersville, NC 28078
Phone (704) 384-7972
1450 Matthews Township Pkwy
Ste 380
Matthews, NC 28105
Phone (704) 264-3500
1969 Wellness Blvd
Monroe, NC 28110
Phone (704) 316-5775
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- kmccrea15006@direct.novanthealth.org
Organizations & group practices 4
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
-
- Pulmonary Disease Physician
- Charlotte, NC
- NPI 1205177045
Critical Care Medicine
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 8
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
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- 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": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1235198656",
"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",
"telephone_number": "704-384-9900",
"fax_number": "704-384-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 580",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071116",
"telephone_number": "704-384-9900",
"fax_number": "704-384-9919"
}
],
"practiceLocations": [
{
"address_1": "1900 Randolph Rd",
"address_2": "Suite 580",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071122",
"country_code": "US",
"telephone_number": "704-384-9900",
"fax_number": "704-384-9919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCREA",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9400574",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "9400574",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "9400574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8958227",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N00574",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KMCCREA15006@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "1900 Randolph Rd",
"address_2": "Suite 580",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071122",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 24, 2023; 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.