Kristina Ann Leake, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

140987 Issued in NC

Practice address

2100 S Tryon St Unit 201
Charlotte, NC 28203-5031

Phone

(704) 316-3000

Fax

(704) 316-3001

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kristina Petrovski Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NMG Health Services LLC

  dba NHMG OBGYN Urgent Care Clinics

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1396455267
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• NMG Health Services, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Charlotte, NC
  • NPI 1093696353
  NPD
• NMG Health Services, LLC

  dba Novant Health OB/GYN Urgent Care

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1891406435
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Harbor Pointe OB/GYN

  • Obstetrics & Gynecology Physician
  • Mooresville, NC
  • NPI 1053878868
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Inpatient Care Specialists

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1689680332
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1609070093",
    "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",
            "telephone_number": "980-367-4963",
            "fax_number": "704-316-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S TRYON ST UNIT 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035031",
            "telephone_number": "704-316-3000",
            "fax_number": "704-316-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E 4th St",
            "address_2": "Suite 707",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043261",
            "country_code": "US",
            "telephone_number": "704-316-5270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042429",
            "country_code": "US",
            "telephone_number": "980-367-4363",
            "fax_number": "704-384-1644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6331 Carmel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268286",
            "country_code": "US",
            "telephone_number": "980-367-4363",
            "fax_number": "704-316-2558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAKE",
        "first_name": "KRISTINA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "140987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918497",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "2011-00385",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kleake15887@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1718 E 4th St",
            "address_2": "Suite 707",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282043261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "PETROVSKI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaili Malia Leahy, PHARMD
• Ashanti Lachay Leak
• Jade Charnae Leak, MSW, LCSWA
• Alexis Michelle Leake, FNP-C
• Jennifer L Leake, NP
• Leap Behavioral & Mental Health Services
• Leap of Faith Family Services
• James Douglas Leap, PA-C
• Leaps & Bounds, Inc.
• Lear Enterprises (Walker's Drug Store)

• Obstetrics & Gynecology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.