Individual provider Active NPI

Kathleen Elizabeth Zeller, M.D.

  • General Practice Physician
  • High Point, NC
National Provider Identifier
1386798171
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
200700068 Issued in NC
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

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5906226MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000450 NC Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3274633532 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00068NCMDObstetrics & Gynecology Physician
200700068NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Anson CurrentSince Feb 9, 2025 Accepting new patients
Mediq Urgent Care PC CurrentSince Dec 1, 2017 Accepting new patients
Mediq Urgent Care PC CurrentSince Dec 1, 2017 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.

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

Verify at the official NPI Registry.