Active NPI
Kathia Elizabeth Gill, FNP
- Family Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012344
- Practice address
- 1085 NE Gateway CT NE
Ste 200
Concord, NC 28025-2406 - Phone
- (704) 403-8650
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5012344 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5012344 | NC | Primary |
Addresses
Primary practice location
1085 NE Gateway CT NE
Ste 200
Concord, NC 28025-2406
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
5427 Nc Highway 49 S
Ste 102
Harrisburg, NC 28075-7408
Phone (704) 454-7360
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kskinner487968@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 NY, NC
- 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
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1085 NE Gateway CT NE
Suite 200
Concord, NC 28025-2412
Phone (704) 403-8650
374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012344 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Wyckoff Professional Medical Services, PC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Osh Mi Physicians Group, PC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Osh-Mi Physicians Group PC | Family | Current | Accepting new patients |
Locations
30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758
100 N 6th St
Ste 900A
Minneapolis, MN 55403
400 E Morehead St
#202
Charlotte, NC 28202
Phone (704) 355-0607
3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1085 NE Gateway Ct NE
Ste 200
Concord, NC 28025
Phone (704) 260-8650
200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740
1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650
5427 NC Highway 49 S
Ste 102
Harrisburg, NC 28075
Phone (704) 454-7360
374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485
5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303
10 E 102nd St
New York, NY 10029
Phone (212) 241-5656
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- kskinner487968@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 14
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1659710796
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
-
- Hematology & Oncology Physician
- New York, NY
- NPI 1750649612
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1376893057
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Family Medicine Physician
- Monroe, NC
- NPI 1376898148
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Child & Adolescent Psychiatry Physician
- Harrisburg, NC
- NPI 1043646961
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1326568981",
"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": "1085 NE GATEWAY CT NE",
"address_2": "STE 200",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252406",
"telephone_number": "704-403-8650"
}
],
"practiceLocations": [
{
"address_1": "5427 Nc Highway 49 S",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "NC",
"postal_code": "280757408",
"country_code": "US",
"telephone_number": "704-454-7360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "KATHIA",
"middle_name": "ELIZABETH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2024-07-15",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012344",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012344",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kskinner487968@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1085 NE Gateway Ct NE",
"address_2": "Ste 200",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280252406",
"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 Concord, NC
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.