Individual provider Active NPI

Erin Nicole Kiehna, MD

  • Neurological Surgery Physician
  • Charlotte, NC
National Provider Identifier
1619181898
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2017-01871 Issued in NC
Practice address
2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Phone
(980) 302-9300
Fax
(980) 302-8302
NPI assigned
May 9, 2007
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A126001 CA
Neurological Surgery Physician 207T00000X 2017-01871 NC Primary

Addresses

Primary practice location

2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-3070

Other practice location 1

330 Billingsley Rd Ste 202
Charlotte, NC 28211-5020
Phone (704) 316-3070

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ekiehna507819@direct.novanthealth.org
Direct Messaging Address ekiehna507819@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920002068 NC Practitioner - Neurosurgery 5991932428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Yale University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2801 Randolph Rd
Suite 101
Charlotte, NC 28211-1051
Phone (704) 384-8696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126001CAMDNeurological Surgery Physician
2017-01871NCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 18, 2017 Accepting new patients
Novant Medical Group, Inc. CurrentSince Sep 18, 2017 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

2711 Randolph Rd
Ste 100
Charlotte, NC 28207
Phone (704) 342-1900

2801 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 367-4800

2801 Randolph Rd
Ste 101
Charlotte, NC 28211
Phone (704) 384-7910

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

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: ekiehna507819@direct.novanthealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1619181898",
    "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": "704-316-3070",
            "fax_number": "704-316-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "980-302-9300",
            "fax_number": "980-302-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Billingsley Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282115020",
            "country_code": "US",
            "telephone_number": "704-316-3070",
            "fax_number": "704-316-3071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEHNA",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A126001",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2017-01871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekiehna507819@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "330 Billingsley Rd Ste 202",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282115020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekiehna507819@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2711 Randolph Rd Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282072027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.