Individual provider Active NPI

Annise Kieu Chung, DO

  • Nephrology Physician
  • Charlotte, NC
National Provider Identifier
1417299348
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2023-00627 Issued in NC
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

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230920003456 NC Practitioner - HospitalistPractitioner - Internal Medicine 6800128885 Reassigns benefits to 2 organizations
I20250401001980 NC Practitioner - NephrologyPractitioner - Internal Medicine 6800128885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

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 Dialysis facility, Charlotte, NC, CCN 342605
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
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

LicenseStateTypeSpecialty
2023-00627NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Dec 12, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Dec 12, 2024 Accepting new patients
Metrolina Nephrology Associates, PA Nephrology CurrentSince Feb 17, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 5, 2023 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Sep 5, 2023 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

  • Direct secure messaging: achung1234612@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.