Active NPI
James Michael Kidder, M.D.
- Pediatrics Physician
- Lexington, NC
National Provider Identifier
1447432166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2009-01301
- Practice address
- 13 Medical Park Dr
Lexington, NC 27292-6768 - Phone
- (336) 249-4911
- Fax
- (336) 249-1782
- NPI assigned
- Dec 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2009-01301 | NC | Primary |
Addresses
Primary practice location
13 Medical Park Dr
Lexington, NC 27292-6768
Mailing address
PO Box 602658
Charlotte, NC 28260-2658
Phone (336) 716-2011
Other practice location 1
1439 E Cone Blvd
Greensboro, NC 27405-4533
Phone (833) 904-2273
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 |
|---|---|---|---|
| 2009-01301 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cityblock Medical Practice, P.a. | Current | Accepting new patients |
Locations
4444 The Plaza
Unit 18
Charlotte, NC 28215
1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676
Interoperability endpoints
- james.kidder.1@27775.direct.athenahealth.com
Organizations & group practices 1
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": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1447432166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602658",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602658",
"telephone_number": "336-716-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 MEDICAL PARK DR",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272926768",
"telephone_number": "336-249-4911",
"fax_number": "336-249-1782"
}
],
"practiceLocations": [
{
"address_1": "1439 E Cone Blvd",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274054533",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIDDER",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2009-01301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.