Active NPI
Kendall Lane Flanigan, MD
- Dermatology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2025-02105
- Practice address
- 7903 Providence Rd Ste 125
Charlotte, NC 28277-8911 - Phone
- (704) 727-7355
- Fax
- (704) 900-2216
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2025-02105 | NC | Primary |
Addresses
Primary practice location
7903 Providence Rd Ste 125
Charlotte, NC 28277-8911
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kendall.Flanigan@forefrontdermatology.emadirect.md |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Medical College of Georgia School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7903 Providence Rd
Suite 125
Charlotte, NC 28277-8911
Phone (704) 727-7355
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-02105 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Past | Accepting new patients |
Locations
7903 Providence Rd
Ste 125
Charlotte, NC 28277
Phone (704) 727-7355
2613 Hospital Rd
Goldsboro, NC 27534
Phone (919) 736-0222
801 York St
Manitowoc, WI 54220
Phone (866) 630-9882
Interoperability endpoints
- kflanigan355354@directhisp.wakemed.org
- kflanigan452121@direct.unc.nchie.net
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 and National Provider Directory roles.
-
- Dermatology Physician
- Goldsboro, NC
- NPI 1326532169
-
- Dermatology Physician
- Charlotte, NC
- NPI 1285436675
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1679154603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7903 PROVIDENCE RD STE 125",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778911",
"telephone_number": "704-727-7355",
"fax_number": "704-900-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANIGAN",
"first_name": "KENDALL",
"middle_name": "LANE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2025-02105",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kendall.Flanigan@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "7903 Providence Rd Ste 125",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282778911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.