Active NPI
Katie Eileen Golden, MD
- Emergency Medicine Physician
- Charlotte, NC
National Provider Identifier
1316213937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2016-01064
- Practice address
- 345 Sharon Township LN Apt 455
Charlotte, NC 28211-5192 - Phone
- (860) 559-5208
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2016-01064 | NC | Primary |
Addresses
Primary practice location
345 Sharon Township LN Apt 455
Charlotte, NC 28211-5192
Mailing address
345 Sharon Township LN Apt 455
Charlotte, NC 28211-5192
Phone (860) 559-5208
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912K | Other | NC | BCBS |
| 1316213937 | Medicaid | NC | |
| NCT584A | Other | NC | MEDICARE PTAN |
| NC2969 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-01064 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mema SC LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1407675176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1316213937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 SHARON TOWNSHIP LN APT 455",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115192",
"telephone_number": "860-559-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SHARON TOWNSHIP LN APT 455",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115192",
"telephone_number": "860-559-5208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "KATIE",
"middle_name": "EILEEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2016-01064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1912K",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316213937",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NCT584A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2969",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.