Active NPI
Annise Kieu Chung, DO
- Nephrology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2023-00627
- Practice address
- 3158 Freedom Dr Ste 3101
Charlotte, NC 28208-0014 - Phone
- (704) 348-2992
- Fax
- (704) 334-3061
- NPI assigned
- Mar 18, 2013
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2023-00627 | NC | |
| Nephrology Physician | 207RN0300X | 2023-00627 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 2023-00627 | NC |
Addresses
Primary practice location
3158 Freedom Dr Ste 3101
Charlotte, NC 28208-0014
Mailing address
3158 Freedom Dr Ste 3102
Charlotte, NC 28208-0014
Phone (704) 971-7099
Other practice location 1
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-7070
Other practice location 2
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720
Other practice location 3
1000 Healing Way
Matthews, NC 28104-4969
Phone (980) 993-2240
Other practice location 4
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6241
Other practice location 5
7903 Providence Rd Ste 110
Charlotte, NC 28277-8300
Phone (704) 248-5101
Other practice location 6
433 Copperfield Blvd NE
Concord, NC 28025-2405
Phone (704) 786-7770
Other practice location 7
2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 304-6070
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | achung1234612@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| Direct Messaging Address | achung31081@direct.acumenmd.com | Direct |
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Philadelphia College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
3158 Freedom Dr
Suite 3101
Charlotte, NC 28208-0014
Phone (704) 348-2992
Hospital & facility affiliations
- FMC Bma East Charlotte
- Carolinas Medical Center/Behav Health
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-00627 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Metrolina Nephrology Associates, PA | Nephrology | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Internal Medicine | Current | Accepting new patients |
| Charlotte Radiology P a | Past | Accepting new patients | |
| The Metrohealth System | Past | Accepting new patients | |
| Doctors Group , PC | Internal Medicine | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
3158 Freedom Dr
Ste 3101
Charlotte, NC 28208
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
3033 Eastway Dr
Ste 201
Charlotte, NC 28205
Phone (704) 316-4517
3158 Freedom Dr
Ste 3102
Charlotte, NC 28208
Phone (704) 731-6857
2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900
7903 Providence Rd
Ste 110
Charlotte, NC 28277
Phone (704) 248-5101
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
433 Copperfield Blvd NE
Concord, NC 28025
Phone (704) 786-7770
990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272
2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302
1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535
Interoperability endpoints
- achung1234612@carolinashealthcaresystem.direct-ci.com
- achung31081@direct.acumenmd.com
Organizations & group practices 10
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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Nephrology Physician
- Charlotte, NC
- NPI 1083664189
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1306855846
Internal Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Specialist
- Charlotte, NC
- NPI 1649220443
-
- Internal Medicine Physician
- Bridgeton, MO
- NPI 1730259888
-
- Health Educator
- Cleveland, OH
- NPI 1609434323
Hospital & facility affiliations 6
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1417299348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3158 FREEDOM DR STE 3102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282080014",
"telephone_number": "704-971-7099",
"fax_number": "704-971-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3158 FREEDOM DR STE 3101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282080014",
"telephone_number": "704-348-2992",
"fax_number": "704-334-3061"
}
],
"practiceLocations": [
{
"address_1": "10628 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108407",
"country_code": "US",
"telephone_number": "704-667-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-0720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Healing Way",
"address_purpose": "LOCATION",
"city": "Matthews",
"state": "NC",
"postal_code": "281044969",
"country_code": "US",
"telephone_number": "980-993-2240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8800 N Tryon St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623300",
"country_code": "US",
"telephone_number": "704-863-6241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7903 Providence Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282778300",
"country_code": "US",
"telephone_number": "704-248-5101",
"fax_number": "704-248-5120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "433 Copperfield Blvd NE",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252405",
"country_code": "US",
"telephone_number": "704-786-7770",
"fax_number": "704-788-9351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Vail Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071248",
"country_code": "US",
"telephone_number": "704-304-6070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "ANNISE",
"middle_name": "KIEU",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2025-05-02",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2023-00627",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2023-00627",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2023-00627",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "achung1234612@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1000 Healing Way",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281044969",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "achung31081@direct.acumenmd.com",
"affiliation": "N",
"endpointDescription": "Acumen Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CED",
"address_1": "3158 Freedom Dr Ste 3101",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282080014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.