Active NPI
Kathleen Elizabeth Zeller, M.D.
- General Practice Physician
- High Point, NC
National Provider Identifier
1386798171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 200700068
- Practice address
- 1912 Eastchester Dr Ste 302
High Point, NC 27265-3505 - Phone
- (336) 438-2260
- NPI assigned
- Jan 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2007-00068 | NC | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 2007-00068 | NC | |
| General Practice Physician | 208D00000X | 200700068 | NC | Primary |
Addresses
Primary practice location
1912 Eastchester Dr Ste 302
High Point, NC 27265-3505
Mailing address
PO Box 39234
Greensboro, NC 27438-9234
Phone (336) 963-5625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906226 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-00068 | NC | MD | Obstetrics & Gynecology Physician |
| 200700068 | NC | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Anson | Current | Accepting new patients | |
| Mediq Urgent Care PC | Current | Accepting new patients | |
| Mediq Urgent Care PC | Current | Accepting new patients |
Locations
5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691
1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260
110 E Ashe St
Wadesboro, NC 28170
Phone (704) 694-5188
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Greensboro, NC
- NPI 1912381203
-
- Federal Public Health Clinic/Center
- Wadesboro, NC
- NPI 1205062551
-
- Urgent Care Clinic/Center
- Archdale, NC
- NPI 1255906988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1386798171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39234",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274389234",
"telephone_number": "336-963-5625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 EASTCHESTER DR STE 302",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272653505",
"telephone_number": "336-438-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELLER",
"first_name": "KATHLEEN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2007-00068",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NC",
"license": "2007-00068",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "200700068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906226",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.