NPIMap

Individual provider Active NPI

Kimberly Anne Case, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1356484232
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
2007-00877 Issued in NC
Practice address
125 Queens Rd Ste 510
Charlotte, NC 28204-3215
Phone
(980) 302-6440
Fax
(980) 302-6445
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007-00877 NC
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 2007-00877 NC
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2007-00877 NC Primary

Addresses

Primary practice location

125 Queens Rd Ste 510
Charlotte, NC 28204-3215

Mailing address

125 Queens Rd Ste 510
Charlotte, NC 28204-3215
Phone (980) 302-6440

Other practice location 1

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-6478

Other identifiers 7

IdentifierTypeStateIssuer
810639OtherNCPARTNERS
9746068OtherNCAETNA
146F7OtherNCBLUE CROSS
202028OtherNCMEDCOST
3810009712MedicaidWV
5907442MedicaidNC
Q77008MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcase40918@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070904000423 NC Practitioner - Hospice/Palliative CarePractitioner - Family Practice 3072606250 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Charlotte, NC 28204-3215

125 Queens Rd
Charlotte, NC 28204-3580

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-5416

Hospital & facility affiliations

  • Novant Health Hospice and Palliative Care a Department of Novant Health Hospice, Charlotte, NC, CCN 341575
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • 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
2007-00877NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Aug 20, 2007 Accepting new patients
Novant Health Rowan Medical Center LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 11, 2014 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 20, 2013 Accepting new patients
The Presbyterian Hospital CurrentSince Feb 20, 2013 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Jul 20, 2021 Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 20, 2007 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Jul 20, 2021 Accepting new patients
The Presbyterian Hospital Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 11, 2014 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

125 Queens Rd
Ste 560
Charlotte, NC 28204
Phone (980) 302-6270

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

324 N McDowell St
Ste 200
Charlotte, NC 28204
Phone (704) 316-7530

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Queens Rd
Ste 510
Charlotte, NC 28204
Phone (980) 302-6440

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

631 Mocksville Ave
#1020
Salisbury, NC 28144
Phone (704) 210-7600

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: kcase40918@direct.novanthealth.org

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Presbyterian Hospital HuntersvilleHuntersville, NC, CCN 340183 Hospital Corporate Director May 21, 2021
Novant Health Matthews Medical CenterMatthews, NC, CCN 340171 Hospital Corporate Director May 1, 2021
Novant Health Presbyterian Medical CenterCharlotte, NC, CCN 340053 Hospital Corporate Director May 1, 2021
Presbyterian Behavioral Health UnitCharlotte, NC, CCN 34S053 Hospital Corporate Director May 1, 2021
Novant Health Mint Hill Medical CenterCharlotte, NC, CCN 340190 Hospital Corporate Director May 1, 2021
Novant Health Ballantyne Medical CenterCharlotte, NC, CCN 340195 Hospital Corporate Director May 1, 2021
Novant Health Presbyterian Medical CenterCharlotte, NC, CCN 345467 Skilled nursing facility Corporate Director May 1, 2021
Novant Health Hospice and Palliative Care a Department of Novant HealtCharlotte, NC, CCN 341575 Hospice Corporate Director
W-2 Managing Employee		 May 1, 2021
May 1, 2021

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 6

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1356484232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 510",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043215",
            "telephone_number": "980-302-6440",
            "fax_number": "980-302-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUEENS RD STE 510",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043215",
            "telephone_number": "980-302-6440",
            "fax_number": "980-302-6445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-6478",
            "fax_number": "704-384-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASE",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-00877",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2007-00877",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2007-00877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "810639",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9746068",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "146F7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "202028",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009712",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907442",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q77008",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcase40918@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "125 Queens Rd Ste 510",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.