Active NPI
Peter Kankaka Nkyesiga, PA
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03018
- Practice address
- 9332 S Tryon St
Charlotte, NC 28273-3108 - Phone
- (704) 587-6700
- NPI assigned
- Oct 9, 2008
- Last updated
- Jul 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03018 | NC | Primary |
Addresses
Primary practice location
9332 S Tryon St
Charlotte, NC 28273-3108
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
7810 Providence Rd
Ste 102
Charlotte, NC 28226-2954
Phone (704) 543-6636
Other practice location 2
704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715-8906
Phone (704) 667-3380
Other practice location 3
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
Other practice location 4
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269-2206
Phone (704) 863-9930
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pnkyesiga499994@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
1010 E Dixon Blvd
Shelby, NC 28152-6838
Phone (980) 487-2700
10210 Couloak Dr
Suite E
Charlotte, NC 28216-7695
Phone (704) 801-2000
1090 NE Gateway CT NE
Suite 202
Concord, NC 28025-2423
Phone (704) 403-9050
11115 Golf Links Dr
Suite B
Charlotte, NC 28277-7827
Phone (704) 667-0080
119 Market Place Ave
Suite D
Mooresville, NC 28117-9157
Phone (704) 801-9140
12016 Lemmond Farm Dr
Charlotte, NC 28227-8353
14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373
1426 E Morehead St
Charlotte, NC 28204-2926
Phone (704) 446-6090
1656 Riverchase Blvd
Suite 1800
Rock Hill, SC 29732-0282
Phone (803) 909-1850
1802 E Main St
Lincolnton, NC 28092-3915
Phone (980) 212-2610
2041 S Blvd
Suite 100
Charlotte, NC 28203-5775
Phone (704) 304-0140
3320 Robinwood Rd
Suite 100
Gastonia, NC 28054-6689
Phone (980) 487-2930
340 Jake Alexander Blvd W
Suite 105
Salisbury, NC 28147-1364
Phone (704) 403-6240
420 Park St
Belmont, NC 28012-3393
Phone (704) 631-1820
5717 Albemarle Rd
Charlotte, NC 28212-1634
Phone (704) 563-2150
5727 Prosperity Crossing Dr
Suite 1100
Charlotte, NC 28269-5604
Phone (704) 863-9930
6030 W Hwy 74
Indian Trail, NC 28079-3469
613 E Roosevelt Blvd
Monroe, NC 28112-5124
Phone (704) 283-8193
703 Leonard Ave
Albemarle, NC 28001-5257
Phone (704) 550-0050
704 Gold Hill Rd
Fort Mill, SC 29715-8906
Phone (803) 835-0420
7810 Providence Rd
Charlotte, NC 28226-2954
Phone (704) 543-6636
8815 Christenbury Pkwy
Suite 30
Concord, NC 28027-0261
Phone (704) 403-8810
9325 JW Clay Blvd
Suite 221
Charlotte, NC 28262-5411
Phone (704) 863-9050
9332 S Tryon St
Charlotte, NC 28273-3108
Phone (704) 587-6700
9623 Redstone Dr
Suite 300
Indian Land, SC 29707-5407
Phone (704) 667-4840
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4285 | AZ | MD | Clinical Psychologist |
| 0010-03018 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Union Urgent Care LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
231 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 304-6400
5717 Albemarle Rd
Charlotte, NC 28212
Phone (704) 563-2150
5727 Prosperity Crossing Dr
Ste 1100
Charlotte, NC 28269
Phone (704) 863-9930
7810 Providence Rd
Ste 102
Charlotte, NC 28226
Phone (704) 393-4808
9332 S Tryon St
Charlotte, NC 28273
Phone (704) 587-6700
1090 NE Gateway Ct NE
Ste 202
Concord, NC 28025
Phone (704) 403-9050
12905 Rosedale Hill Ave
Huntersville, NC 28078
Phone (704) 801-1000
332 N Trade St
#1100
Matthews, NC 28105
Phone (704) 512-6850
1550 Faulk St
Ste 1500
Monroe, NC 28112
Phone (704) 302-9700
704 Gold Hill Rd
Ste 1200
Fort Mill, SC 29715
Phone (704) 667-3380
Interoperability endpoints
- pnkyesiga499994@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 12
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.
-
dba Atrium Health Urgent Care Arboretum
- Family Medicine Physician
- Charlotte, NC
- NPI 1457380313
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1457878084
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Lancaster, SC
- NPI 1962858662
-
dba Atrium Health Levine Children's Healthy Futures
- Pediatrics Physician
- Kannapolis, NC
- NPI 1033637178
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Fort Mill, SC
- NPI 1568610889
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1386653830
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1437168937
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1497762686
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Concord, NC
- NPI 1902049190
-
dba Carolinas HealthCare Urgent Care - Monroe
- Durable Medical Equipment & Medical Supplies
- Monroe, NC
- NPI 1063421469
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1316198229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9332 S TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282733108",
"telephone_number": "704-587-6700"
}
],
"practiceLocations": [
{
"address_1": "7810 Providence Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-543-6636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "704 Gold Hill Rd",
"address_2": "Ste 1200",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297158906",
"country_code": "US",
"telephone_number": "704-667-3380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5717 Albemarle Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282121634",
"country_code": "US",
"telephone_number": "704-563-2150",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5727 Prosperity Crossing Dr",
"address_2": "Ste 1100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282692206",
"country_code": "US",
"telephone_number": "704-863-9930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NKYESIGA",
"first_name": "PETER",
"middle_name": "KANKAKA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2024-07-15",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03018",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pnkyesiga499994@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "9332 S Tryon St",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282733108",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
- John Randall Nixon, M.D.
- Kaiharah Nixon
- Shakima Zarkeya Nixon, FNP
- Tyra Faythe Nixon
- Nancy Njenga, FNP
- Nlrnc-Abc, LLC (Always Best Care of Charlotte)
- NMG Affiliate Practice I, LLC
- NMG Health Services LLC (Novant Health Minimally Invasive GYN Surgery)
- NMG Health Services LLC (NHMG OBGYN Urgent Care Clinics)
- NMG Health Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.