Individual provider Active NPI

Charley Atkison, PA-C

  • Physician Assistant
  • N Kansas City, MO
National Provider Identifier
1336600642
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2019026732 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 650
N Kansas City, MO 64116-3279
Phone
(816) 459-7500
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-02451 KS
Physician Assistant 363A00000X 2019026732 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 650
N Kansas City, MO 64116-3279

Mailing address

2790 Clay Edwards Dr Ste 650
Kansas City, MO 64116-3279
Phone (816) 459-7500

Other practice location 1

8250 N Church Rd
Kansas City, MO 64158-1103
Phone (816) 459-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190903000736 MO Practitioner - Physician Assistant 6800125741 Reassigns benefits to 3 organizations
I20220301000973 KS Practitioner - Physician Assistant 6800125741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgeons, P.a. CurrentSince Jul 23, 2019 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Orthopedic Surgeons, P.a. CurrentSince Jul 23, 2019 Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients
Excelsior Springs City Hospital CurrentSince Oct 1, 2020 Accepting new patients

Locations

12200 W 106th St
Ste 400
Overland Park, KS 66215
Phone (816) 459-7500

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

8250 N Church Rd
Kansas City, MO 64158
Phone (816) 459-7500

2790 Clay Edwards Dr
Ste 650
North Kansas City, MO 64116
Phone (816) 459-7500

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Missouri, Kansas City, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons PA 28 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 650
N Kansas City, MO 64116-3279
Phone (816) 459-7500

8250 N Church Rd
Kansas City, MO 64158-1103
Phone (816) 459-7500

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Excelsior Springs Hospital Hospital, Excelsior Springs, MO, CCN 261322

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1336600642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 650",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163279",
            "telephone_number": "816-459-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 650",
            "city": "N KANSAS CITY",
            "state": "MO",
            "postal_code": "641163279",
            "telephone_number": "816-459-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8250 N Church Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641581103",
            "country_code": "US",
            "telephone_number": "816-459-7500",
            "fax_number": "816-207-3768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATKISON",
        "first_name": "CHARLEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02451",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019026732",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kansas City, MO

Sources for this page

Verify at the official NPI Registry.