Active NPI
Jennifer Leigh Kahrl, PA-C
- Physician Assistant
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-06399
- Practice address
- 1771 Tate Blvd SE Ste 204
Hickory, NC 28602-4250 - Phone
- (828) 322-9105
- Fax
- (828) 328-4999
- NPI assigned
- Jun 26, 2006
- Last updated
- Sep 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-06399 | NC | Primary |
| Surgical Physician Assistant | 363AS0400X | 0010-06399 | NC |
Addresses
Primary practice location
1771 Tate Blvd SE Ste 204
Hickory, NC 28602-4250
Mailing address
1771 Tate Blvd SE
Suite 204
Hickory, NC 28602-4250
Phone (828) 322-9105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00282664 | Other | RAILROAD MEDICARE | |
| 001722501 | Other | WV | BLUE CROSS BLUE SHIELD |
Other names 1
- Jennifer Leigh Davis
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1771 Tate Blvd SE
Suite 204
Hickory, NC 28602-4250
Phone (828) 732-5200
50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791 | WV | MD | Psychologist |
| 2668 | OH | MD | Registered Dietitian |
| 256 | WV | MD | Podiatrist |
| 0010-06399 | NC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Group, Inc | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Past | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377
1771 Tate Blvd SE
Ste 204
Hickory, NC 28602
Phone (828) 322-9105
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
125 Hospital Ave NW
Ste 200C
Lenoir, NC 28645
Phone (828) 732-7500
50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300
Interoperability endpoints
- jennifer.kahrl@cvmg.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
dba Catawba Valley Family Care - Catawba
- Family Medicine Physician
- Catawba, NC
- NPI 1790062362
-
dba Gastroenterology Associates of Catawba Valley-A
- Ambulatory Surgical Clinic/Center
- Hickory, NC
- NPI 1659267359
-
dba Catawba Valley Family Medicine - Claremont
- Family Medicine Physician
- Claremont, NC
- NPI 1174800742
-
dba Catawba Valley Foot & Ankle Center
- Podiatric Clinic/Center
- Hickory, NC
- NPI 1083258115
-
dba Camden Clark Medical Center
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1639106719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 TATE BLVD SE",
"address_2": "SUITE 204",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024250",
"telephone_number": "828-322-9105",
"fax_number": "828-328-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 TATE BLVD SE STE 204",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024250",
"telephone_number": "828-322-9105",
"fax_number": "828-328-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHRL",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-06399",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "0010-06399",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00282664",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001722501",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "DAVIS",
"middle_name": "LEIGH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.