Individual provider Active NPI

Kaitlyn Marie Hurst, M.D.

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1518317668
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2022-00463 Issued in NC
Practice address
12611 N Community House Rd Ste 100
Charlotte, NC 28277-3817
Phone
(704) 316-3410
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101271603 VA
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 0101271603 VA
Orthopaedic Surgery Physician 207X00000X 2022-00463 NC Primary

Addresses

Primary practice location

12611 N Community House Rd Ste 100
Charlotte, NC 28277-3817

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2922 Telestar Ct
Falls Church, VA 22042-1206
Phone (703) 584-2040

Other practice location 2

1120 W Michigan St
Suite 600
Indianapolis, IN 46202-5209
Phone (317) 278-5835

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
I20220712001474 NC Practitioner - Orthopedic Surgery 0840582813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

4741 Randolph Rd
Suite 100And200
Charlotte, NC 28211-2919
Phone (704) 365-6730

8110 Healthcare Loop
Charlotte, NC 28215-7069
Phone (704) 316-2310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Orthopaedic Surgery CurrentSince May 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Orthopaedic Surgery CurrentSince May 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

12611 N Community House Rd
Ste 100
Charlotte, NC 28277
Phone (704) 316-3410

10905 Providence Rd W
Ste 270
Charlotte, NC 28277
Phone (704) 316-3410

8110 Healthcare Loop
Charlotte, NC 28215
Phone (704) 316-2312

4741 Randolph Rd
Ste 100200
Charlotte, NC 28211
Phone (704) 365-6730

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

1450 Matthews Township Pkwy
Ste 170
Matthews, NC 28105
Phone (704) 384-6020

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: khurst193710@direct.novanthealth.org

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.

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1518317668",
    "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": "12611 N COMMUNITY HOUSE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773817",
            "telephone_number": "704-316-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2922 Telestar Ct",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220421206",
            "country_code": "US",
            "telephone_number": "703-584-2040",
            "fax_number": "703-560-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 W Michigan St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-278-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101271603",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "VA",
            "license": "0101271603",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2022-00463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.