Individual provider Active NPI

Sharon K Kanelos, MD

  • Physical Medicine & Rehabilitation Physician
  • Charlotte, NC
National Provider Identifier
1497785430
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2000-00479 Issued in NC
Practice address
11220 Elm LN Ste 102
Charlotte, NC 28277-0716
Phone
(704) 557-5000
Fax
(704) 541-5000
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2000-00479 NC Primary

Addresses

Primary practice location

11220 Elm LN Ste 102
Charlotte, NC 28277-0716

Mailing address

11220 Elm LN Ste 102
Charlotte, NC 28277-0716
Phone (704) 557-0500

Other identifiers 4

IdentifierTypeStateIssuer
127XEOtherNCNCBCBS
1497785430MedicaidNC
N00471MedicaidSC
89127XEMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maureen.scott.1@4412.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000490 NC Practitioner - Physical Medicine and Rehabilitation 6709989635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Family Healthcare, PAGroup PAC ID 3577546662, 6 clinicians

Practice addresses (Care Compare)

11220 Elm LN
Suite 102
Charlotte, NC 28277-0716
Phone (704) 557-0500

Hospital & facility affiliations

  • Atrium Health Union Hospital, Monroe, NC, CCN 340130
  • Carolinas Rehabilitation Inpatient rehabilitation facility, Charlotte, NC, CCN 343026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000-00479NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Healthcare, PA CurrentSince Jan 1, 2025 Accepting new patients

Locations

11220 Elm Ln
Ste 102
Charlotte, NC 28277
Phone (704) 847-4000

Interoperability endpoints

  • Direct secure messaging: sharon.kanelos.1@4047.direct.athenahealth.com
  • Direct secure messaging: sharon.kanelos.1@4412.direct.athenahealth.com
  • Direct secure messaging: maureen.scott.1@4412.direct.athenahealth.com

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 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1497785430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770716",
            "telephone_number": "704-557-0500",
            "fax_number": "704-541-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770716",
            "telephone_number": "704-557-5000",
            "fax_number": "704-541-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANELOS",
        "first_name": "SHARON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2000-00479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "127XE",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497785430",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00471",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127XE",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maureen.scott.1@4412.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "11220 Elm Ln Ste 102",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282770716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.