Individual provider Active NPI

Kelly Yia Xiong, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1740670702
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
236849 Issued in NC
Practice address
1900 Scott Ave
Charlotte, NC 28203-6046
Phone
(704) 334-7311
Fax
(704) 335-9790
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 236849 NC Primary

Addresses

Primary practice location

1900 Scott Ave
Charlotte, NC 28203-6046

Mailing address

16405 Northcross Dr
Ste G2
Huntersville, NC 28078-5005
Phone (704) 334-7311

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023002318 NC Practitioner - Nurse Practitioner 9032428552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mecklenburg Neurology GroupGroup PAC ID 4385999408, 6 clinicians

Practice addresses (Care Compare)

70 Lake Concord Rd NE
Concord, NC 28025-3057
Phone (704) 335-9794

Hospital & facility affiliations

  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
236849NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mecklenburg Neurology Group CurrentSince Sep 23, 2018 Accepting new patients

Locations

8001 N Tryon St
Charlotte, NC 28262
Phone (704) 335-9794

1300 Baxter St
Ste 114
Charlotte, NC 28204
Phone (704) 333-3033

3541 Randolph Rd
Ste 301
Charlotte, NC 28211
Phone (704) 335-9794

70 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 335-3400

16507 Northcross Dr
Ste B
Huntersville, NC 28078
Phone (704) 335-3400

1707 Berwick Dr
Ste A
Laurinburg, NC 28352
Phone (910) 276-2439

511 Lauchwood Dr
Laurinburg, NC 28352
Phone (704) 335-9794

Interoperability endpoints

  • Direct secure messaging: kellyxiongnp@meckneurology.medentdirect.com

Organizations & group practices 1

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 1

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": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1740670702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 NORTHCROSS DR",
            "address_2": "STE G2",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785005",
            "telephone_number": "704-334-7311",
            "fax_number": "704-335-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCOTT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036046",
            "telephone_number": "704-334-7311",
            "fax_number": "704-335-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "KELLY",
        "middle_name": "YIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "236849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.