Individual provider Active NPI

Kenesha Hilda Kirkland, MD

  • Internal Medicine Physician
  • Cornelius, NC
National Provider Identifier
1275662256
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2009-01714 Issued in NC
Practice address
9623 Bailey Rd Ste 220
Cornelius, NC 28031-9449
Phone
(704) 801-8330
Fax
(704) 801-8331
NPI assigned
Mar 5, 2007
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 134152 NC
Internal Medicine Physician 207R00000X 134152 NC
Internal Medicine Physician 207R00000X 2009-01714 NC Primary

Addresses

Primary practice location

9623 Bailey Rd Ste 220
Cornelius, NC 28031-9449

Mailing address

P O Box 19305
Charlotte, NC 28219-9305
Phone (704) 631-0002

Other practice location 1

13640 Steelecroft Pkwy
Suite 320
Charlotte, NC 28278-7565
Phone (704) 302-8900

Other practice location 2

9615 Kincey Ave Ste 210
Huntersville, NC 28078
Phone (704) 489-3113

Other identifiers 5

IdentifierTypeStateIssuer
5913595MedicaidNC
NN3294DOtherNCMEDICARE NUMBER
1275662256MedicaidNC
NC1034MedicaidSC
NN3294BOtherNCMEDICARE NUMBER

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
I20091030000331 NC Practitioner - Internal Medicine 0648317214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920

1237 Harding PL
Suite 2600
Charlotte, NC 28204-2826
Phone (704) 468-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134152NCMDInternal Medicine Physician
2009-01714NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Jan 15, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 15, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network, Inc Family Medicine CurrentSince Aug 2, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988

1237 Harding Pl
Ste 2600
Charlotte, NC 28204
Phone (704) 468-3100

13640 Steelecroft Pkwy
Ste 320
Charlotte, NC 28278
Phone (704) 302-8900

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

9623 Bailey Rd
Cornelius, NC 28031
Phone (704) 801-8330

9623 Bailey Rd
Ste 220
Cornelius, NC 28031
Phone (704) 801-8330

1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kkirkland1167869@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1275662256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 BAILEY RD STE 220",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319449",
            "telephone_number": "704-801-8330",
            "fax_number": "704-801-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13640 Steelecroft Pkwy",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282787565",
            "country_code": "US",
            "telephone_number": "704-302-8900",
            "fax_number": "704-302-8901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9615 Kincey Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "28078",
            "country_code": "US",
            "telephone_number": "704-489-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "KENESHA",
        "middle_name": "HILDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "134152",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "134152",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2009-01714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913595",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "NN3294D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275662256",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1034",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "NN3294B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.