Individual provider Active NPI

Kevin Charles McCammack, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1275853566
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2016-00710 Issued in NC
Practice address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone
(704) 334-7800
Fax
(704) 414-7512
NPI assigned
Jun 9, 2010
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101284632 VA
Diagnostic Radiology Physician 2085R0202X 32737 SC
Diagnostic Radiology Physician 2085R0202X MD61602173 WA
Diagnostic Radiology Physician 2085R0202X 2016-00710 NC Primary

Addresses

Primary practice location

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 334-7800

Other practice location 1

3299 Woodburn Rd Ste 110
Annandale, VA 22003-7310
Phone (703) 849-9050

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 698-4444

Other practice location 3

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other practice location 4

1304 Fawcett Ave
Tacoma, WA 98402-1911
Phone (253) 761-4200

Other practice location 5

9228 Medical Plaza Dr
Charleston, SC 29406-9125
Phone (843) 876-7080

Other practice location 6

6211 Centreville Rd # 400M
Centreville, VA 20121-2641
Phone (703) 204-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, WA, VA, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160627001642 NC Practitioner - Diagnostic Radiology 2365763646 Reassigns benefits to 9 organizations
I20160822000340 SC Practitioner - Diagnostic Radiology 2365763646 Reassigns benefits to 4 organizations
I20241227000451 WA Practitioner - Diagnostic Radiology 2365763646 Reassigns benefits to 4 organizations
I20251001000092 VA Practitioner - Diagnostic Radiology 2365763646 Reassigns benefits to 1 organization
I20251001003761 DC Practitioner - Diagnostic Radiology 2365763646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Radiologists LLPGroup PAC ID 4082699947, 12 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Inova Reston MRI Center LLCGroup PAC ID 2961540042, 101 clinicians

Practice addresses (Care Compare)

106 W Indian Ave
Folly Beach, SC 29439
Phone (480) 821-2823

2100 Chesterfield Ave
Charlotte, NC 28205-6014
Phone (253) 761-4200

2902 Marshall Blvd
Sullivans Island, SC 29482-9637
Phone (425) 563-1500

3299 Woodburn Rd
Suite 110
Annandale, VA 22003-7310
Phone (703) 698-4488

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6211 Centreville Rd
Suite 400M
Centreville, VA 20121-2641
Phone (703) 204-4411

7799 Leesburg Pike
Suite 104S
Falls Church, VA 22043-2413
Phone (703) 893-2820

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118980CAMDMarriage & Family Therapist
32737SCMDDiagnostic Radiology Physician
0101284632VAMDDiagnostic Radiology Physician
MD61602173WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Feb 12, 2025 Accepting new patients
Fairfax Radiological Consultants Diagnostic Radiology CurrentSince Jul 18, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Feb 4, 2025 Accepting new patients
Tra-Minw P S CurrentSince Feb 12, 2025 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Jul 5, 2025 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Ifrc, LLC CurrentSince Jul 13, 2025 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Mar 1, 2025 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jun 19, 2019 Accepting new patients
Prescott Radiologists LLP CurrentSince Aug 30, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Dec 20, 2024 Accepting new patients
Carolinas Imaging Services, LLC CurrentSince Jul 18, 2017 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Dec 20, 2024 Accepting new patients
Central Washington Health Services Association CurrentSince Dec 1, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jun 19, 2019 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jun 14, 2025 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Apr 2, 2025 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology Current Accepting new patients
Charlotte Radiology PA Diagnostic Radiology PastSince Aug 1, 2016 Accepting new patients
Tra-Minw P S Past Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients
Fairfax Radiological Consultants PC Past Accepting new patients
Ucm Medical Group Sub, LLC PastSince Jan 4, 2025 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology Past Accepting new patients
Fairfax Pet Imaging Center, LLC Past Accepting new patients

Locations (25 of 57)

7700 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 442-8165

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

2293 Sugar Hill Rd
#G
Marion, NC 28752

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572

1600 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 751-5055

1800 N Beauregard St
Alexandria, VA 22311
Phone (703) 933-2590

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

400 Fannon St
Fl 1
Alexandria, VA 22301
Phone (571) 472-5400

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6355 Walker Ln
Alexandria, VA 22310
Phone (703) 664-7453

3299 Woodburn Rd
Ste 110
Annandale, VA 22003
Phone (703) 849-9050

3833 Fairfax Dr
Ste 110
Arlington, VA 22203
Phone (202) 674-0644

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

6211 Centreville Rd
Ste 400
Centreville, VA 20121
Phone (703) 204-4411

6211 Centreville Rd
Ste 400M
Centreville, VA 20121
Phone (703) 204-4411

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3801 University Dr
#120
Fairfax, VA 22030
Phone (703) 698-4467

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

8081 Innovation Park Dr
Bldg A
Fairfax, VA 22031

8081 Innovation Park Dr
Bldg B
Fairfax, VA 22031
Phone 703698444414708

8260 Willow Oaks Corporate Dr
Ste 200
Fairfax, VA 22031
Phone 703698444414708

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 8

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1275853566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3299 Woodburn Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220037310",
            "country_code": "US",
            "telephone_number": "703-849-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-698-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Fawcett Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021911",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9228 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294069125",
            "country_code": "US",
            "telephone_number": "843-876-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6211 Centreville Rd # 400M",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201212641",
            "country_code": "US",
            "telephone_number": "703-204-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAMMACK",
        "first_name": "KEVIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101284632",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "32737",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61602173",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2016-00710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.