NPIMap

Individual provider Active NPI

Kendra Dee Atkinson, M.D.

  • Emergency Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1750503280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301088228 Issued in MI
Practice address
100 Michigan NE
Grand Rapids, MI 49503
Phone
(616) 391-1774
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301088228 MI Primary

Addresses

Primary practice location

100 Michigan NE
Grand Rapids, MI 49503

Mailing address

6673 Vantage Dr
Caledonia, MI 49316
Phone (676) 871-0268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090710000511 NC Practitioner - Emergency Medicine 5890861223 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Emergency ProvidersGroup PAC ID 7012819816, 497 clinicians

Practice addresses (Care Compare)

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
84.07
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Wake Forest Emergency Providers CurrentSince Apr 28, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 25, 2025 Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Emergency Medicine Past Accepting new patients

Locations

2512 Hendersonville Rd
Arden, NC 28704
Phone (828) 376-7100

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

16035 Johnston Rd
Charlotte, NC 28277
Phone (704) 542-5132

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: katkinson2979272@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750503280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6673 VANTAGE DR",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "49316",
            "telephone_number": "676-871-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-391-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "KENDRA",
        "middle_name": "DEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301088228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.