Active NPI
Kelly Comeford Wormer, MD
- Obstetrics & Gynecology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 164849
- Practice address
- 2100 S Tryon St
Ste 201
Charlotte, NC 28203-4958 - Phone
- (704) 316-3000
- Fax
- (704) 316-3001
- NPI assigned
- Apr 21, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 164849 | NC | Primary |
Addresses
Primary practice location
2100 S Tryon St
Ste 201
Charlotte, NC 28203-4958
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
300 20th Ave N Ste 302
Nashville, TN 37203-2179
Phone (615) 284-2988
Other practice location 2
2400 South Blvd Ste 103
Charlotte, NC 28203
Phone (704) 316-3000
Other practice location 3
300 20th Ave N Ste 302
Nashville, TN 37203-2179
Phone (615) 284-2988
Other names 1
- Kelly P. Comerford
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwormer729269@direct.novanthealth.org | ||
| Direct Messaging Address | kwormer729269@direct.novanthealth.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Florida College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
2400 S Blvd
Suite 103
Charlotte, NC 28203-5773
Phone (704) 316-3000
269 Gillman Rd
Suite 100
Denver, NC 28037-7919
Phone (704) 316-4930
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164849 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations (25 of 26)
8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608
1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535
8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-2319
1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000
10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744
6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148
5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021
325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802
12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014
14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620
2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101
2400 South Blvd
Ste 103
Charlotte, NC 28203
Phone (704) 316-3000
15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925
1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560
9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161
17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394
269 Gillman Rd
Ste 100
Denver, NC 28037
Phone (704) 316-4930
6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319
14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265
9930 Kincey Ave
Ste 360
Huntersville, NC 28078
14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078
1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846
1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 316-6860
911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
Organizations & group practices 6
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1225094204
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Obstetrics & Gynecology Physician
- Denver, NC
- NPI 1871050682
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1497072177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S TRYON ST",
"address_2": "STE 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034958",
"telephone_number": "704-316-3000",
"fax_number": "704-316-3001"
}
],
"practiceLocations": [
{
"address_1": "300 20th Ave N Ste 302",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372032179",
"country_code": "US",
"telephone_number": "615-284-2988",
"fax_number": "615-284-2995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 South Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28203",
"country_code": "US",
"telephone_number": "704-316-3000",
"fax_number": "704-316-3001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 20th Ave N Ste 302",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372032179",
"country_code": "US",
"telephone_number": "615-284-2988",
"fax_number": "615-284-2995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORMER",
"first_name": "KELLY",
"middle_name": "COMEFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2022-05-26",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "164849",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwormer729269@direct.novanthealth.org",
"affiliation": "N",
"address_1": "300 20th Ave N Ste 302",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372032179",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwormer729269@direct.novanthealth.org",
"affiliation": "N",
"address_1": "2100 S Tryon St",
"address_2": "Ste 201",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282034958",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KELLY",
"last_name": "COMERFORD",
"middle_name": "P.",
"code": "1",
"type": "Former Name"
}
]
}
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 26, 2022; 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.