Individual provider Active NPI

Katie Grace Mellington Vemireddy, M.D.

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1285048181
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2018-00972 Issued in NC
Practice address
8201 Healthcare Loop Ste 302
Charlotte, NC 28215-7072
Phone
(704) 316-2319
Fax
(704) 316-2321
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101270282 VA
Obstetrics & Gynecology Physician 207V00000X LL37074 SC
Obstetrics & Gynecology Physician 207V00000X 2018-00972 NC Primary

Addresses

Primary practice location

8201 Healthcare Loop Ste 302
Charlotte, NC 28215-7072

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 584-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kvemireddy651911@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181030002291 NC Practitioner - Obstetrics/Gynecology 8527326149 Reassigns benefits to 2 organizations
I20201002001179 VA Practitioner - Obstetrics/Gynecology 8527326149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

1955 S US 29 Hwy
China Grove, NC 28023-5684
Phone (704) 855-7611

8201 Health Loop
Suite 302
Charlotte, NC 28215-7072
Phone (844) 266-8268

Hospital & facility affiliations

  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL37074SCMDObstetrics & Gynecology Physician
0101270282VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC Obstetrics & Gynecology CurrentSince Oct 4, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
CMH Physician Services, LLC CurrentSince Oct 4, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-2319

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

1955 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

269 Gillman Rd
Ste 200A
Denver, NC 28037
Phone (704) 316-5287

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

106 Langtree Village Dr
Ste 200
Mooresville, NC 28117
Phone (704) 316-5570

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Interoperability endpoints

  • Direct secure messaging: kvemireddy651911@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 1

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1285048181",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HEALTHCARE LOOP STE 302",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157072",
            "telephone_number": "704-316-2319",
            "fax_number": "704-316-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-584-2273",
            "fax_number": "434-584-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEMIREDDY",
        "first_name": "KATIE",
        "middle_name": "GRACE MELLINGTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101270282",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "LL37074",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2018-00972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvemireddy651911@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8201 Healthcare Loop Ste 302",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282157072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.