NPIMap

Individual provider Active NPI

Kurt Richard Washburn, MD

  • Neurology Physician
  • Charlotte, NC
National Provider Identifier
1437108826
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
200401151 Issued in NC
Practice address
6060 Piedmont Row Dr S Ste 400
Charlotte, NC 28287-3884
Phone
(704) 664-8060
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 200401151 NC Primary

Addresses

Primary practice location

6060 Piedmont Row Dr S Ste 400
Charlotte, NC 28287-3884

Mailing address

PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277

Other practice location 1

1900 Scott Ave
Charlotte, NC 28203-6046
Phone (704) 334-7311

Other identifiers 1

IdentifierTypeStateIssuer
891387RMedicaidNC

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
I20040929000924 NC Practitioner - Neurology 7214906932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Loyola University of Chicago, Stritch School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271

6060 Piedmont Row Dr S
Suite 600
Charlotte, NC 28287-3804
Phone (704) 664-8060

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Healthcare, PA CurrentSince May 1, 2018 Accepting new patients
Piedmont Healthcare, P.a. Neurology CurrentSince May 1, 2018 Accepting new patients

Locations

6060 Piedmont Row Dr S
Ste 600
Charlotte, NC 28287
Phone (704) 664-8060

6060 Piedmont Row Dr S
Ste 400
Charlotte, NC 28287
Phone (704) 664-8060

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

Interoperability endpoints

  • Direct secure messaging: kurtwashburn@phc.allscriptsdirect.net

Organizations & group practices 2

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1437108826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871845",
            "telephone_number": "704-873-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873884",
            "telephone_number": "704-664-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Scott Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282036046",
            "country_code": "US",
            "telephone_number": "704-334-7311",
            "fax_number": "704-335-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "KURT",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200401151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891387R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.