Individual provider Active NPI

Kyle Tilden Pope, D.O.

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1255568309
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012-01255 Issued in NC
Practice address
7903 Providence Road
Suite 100
Charlotte, NC 28277
Phone
(704) 316-4460
Fax
(704) 316-4466
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2012-01255 NC
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2012-01255 NC Primary

Addresses

Primary practice location

7903 Providence Road
Suite 100
Charlotte, NC 28277

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpope43864@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131104001547 NC Practitioner - Family PracticePractitioner - Sports Medicine 1557596277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Weston Group IncGroup PAC ID 8123936796, shared by 8 NPIs, 215 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

7745 Little Ave
Charlotte, NC 28226-8168
Phone (704) 541-9333

7903 Providence Rd
Suite 100
Charlotte, NC 28277-9763
Phone (704) 316-4460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2012-01255NCMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NH Digital Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
NH Digital Health Services, LLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 8, 2013 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Aug 8, 2013 Accepting new patients

Locations

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

114 S Sharon Amity Rd
Charlotte, NC 28211
Phone (980) 337-4428

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

7903 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (704) 316-4460

3836 Corning Pl
Charlotte, NC 28216
Phone (704) 317-2108

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

5870 Samet Dr
High Point, NC 27265
Phone (336) 803-7311

4105 Matthews Mint Hill Rd
Matthews, NC 28105
Phone (704) 316-3095

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

2452 Fairlawn Ct
Winston Salem, NC 27106
Phone (336) 281-5965

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Interoperability endpoints

  • Direct secure messaging: kpope43864@direct.novanthealth.org

Organizations & group practices 7

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 6

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1255568309",
    "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": "704-384-7840",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7903 PROVIDENCE ROAD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-316-4460",
            "fax_number": "704-316-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "KYLE",
        "middle_name": "TILDEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2012-01255",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2012-01255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpope43864@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "7903 Providence Road",
            "address_2": "Suite 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.