Individual provider Active NPI

Aimee Davis Kendall, FNP

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1497160899
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006936 Issued in NC
Practice address
2555 Court Dr Ste 300
Gastonia, NC 28054-2179
Phone
(704) 667-3410
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19318 SC
Family Nurse Practitioner 363LF0000X 5006936 NC Primary

Addresses

Primary practice location

2555 Court Dr Ste 300
Gastonia, NC 28054-2179

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 873-4245

Other practice location 1

10650 Park Rd
Charlotte, NC 28210-8538
Phone (704) 667-3840

Other practice location 2

1237 Harding Pl
Ste 3100
Charlotte, NC 28204
Phone (704) 373-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140820001675 NC Practitioner - Nurse Practitioner 7810115664 Reassigns benefits to 7 organizations
I20221221002652 SC Practitioner - Nurse Practitioner 7810115664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006936NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stallings Emergency Physicians, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 6, 2014 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Western Carolina Emergency Physicians, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Jul 1, 2014 Accepting new patients
Ballantyne Emergency Physicians PLLC CurrentSince Oct 5, 2021 Accepting new patients
The Carolinas Emergency Group, PLLC CurrentSince Sep 15, 2021 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Jul 1, 2014 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Ballantyne Emergency Physicians PLLC CurrentSince Oct 5, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 6, 2014 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 18, 2024 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 18, 2024 Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

10650 Park Rd
Charlotte, NC 28210
Phone (704) 667-0337

1237 Harding Pl
Ste 3100
Charlotte, NC 28204

990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

2555 Court Dr
Ste 300
Gastonia, NC 28054
Phone (704) 834-3278

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

1550 Faulk St
Ste 3100
Monroe, NC 28112
Phone (704) 667-3410

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: akendall128360@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1497160899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-873-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DR STE 300",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542179",
            "telephone_number": "704-667-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10650 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108538",
            "country_code": "US",
            "telephone_number": "704-667-3840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1237 Harding Pl",
            "address_2": "Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28204",
            "country_code": "US",
            "telephone_number": "704-373-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "AIMEE",
        "middle_name": "DAVIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19318",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.