Kelly Rockholt Karagounis, NP

Key facts

NPI

1467091272

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

5012645 (NC)

Practice address

920 Church St N
Concord, NC 28025-2927

Phone

(704) 403-1091

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• CHS Anesthesia Services Group Inc Anesthesiology Physician · Charlotte, NC · NPI 1346649415
  Medicare reassignment Care Compare group NPD NC
• First Care Medical Clinic, PA Internal Medicine Physician · Monroe, NC · NPI 1689635237
  Medicare reassignment NPD FAMILY MEDICINE · NC
• First Care Medical Clinic Internal Medicine Physician · Rock Hill, SC · NPI 1881989192
  Medicare reassignment NPD FAMILY MEDICINE · SC
• First Care Medical Clinic Internal Medicine Physician · Charlotte, NC · NPI 1285759605
  NPD FAMILY MEDICINE
• First Care Medical Clinic Internal Medicine Physician · Salisbury, NC · NPI 1609148998
  NPD FAMILY MEDICINE

Hospital & facility affiliations 2

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

• The Charlotte-Mecklenburg Hospital Authority General Acute Care Hospital · Concord, NC · NPI 1487866315
  Care Compare affiliation Hospital
• The Charlotte-Mecklenburg Hospital Authority Psychiatric Hospital Unit · Concord, NC · NPI 1629283866
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHS Anesthesia Services Group Inc (742 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolinas Medical Center-Northeast Hospital · Concord, NC · CCN 340001

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in SC, NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEDABD
• Direct secure messaging: kkaragounis3031265@carolinashealthcaresystem.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 23, 2021.

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1467091272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CHURCH ST N",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252927",
            "telephone_number": "704-403-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAGOUNIS",
        "first_name": "KELLY",
        "middle_name": "ROCKHOLT",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

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• Jayne Eberechukwu Kalu, DMD
• Natasha Kambasha
• Kathryn Emily Kanauer
• Madison Kapp
• Betsy G Karas, LPC
• Elisabeth Joy Karcher
• Makayla Kasey, LPTA
• Rebecca Elisabeth Engell Kasper, MD
• Steven Joshua Kass, MD

All providers in Concord, NC · Family Nurse Practitioner in North Carolina