Individual provider Active NPI

Christian Tyler Kirkland

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1760879472
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2019-01471 Issued in NC
Practice address
1918 Randolph Rd Ste 670
Charlotte, NC 28207
Phone
(704) 384-1620
Fax
(704) 384-1626
NPI assigned
Apr 20, 2015
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2019-01471 NC Primary

Addresses

Primary practice location

1918 Randolph Rd Ste 670
Charlotte, NC 28207

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-5631

Other practice location 2

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-5631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckirkland725368@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
I20190827002815 NC Practitioner - Obstetrics/Gynecology 5294056206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Carolina at Chapel Hill School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

15830 Ballantyne Medical PL
Suite 275
Charlotte, NC 28277-4791
Phone (980) 302-8659

1718 E 4TH St
Suite 201
Charlotte, NC 28204-3194
Phone (704) 384-0560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 18, 2019 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 18, 2019 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 18, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (704) 542-0744

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-1120

8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 321-1077

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

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: ckirkland725368@direct.novanthealth.org

Organizations & group practices 6

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 4

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1760879472",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 RANDOLPH RD STE 670",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28207",
            "telephone_number": "704-384-1620",
            "fax_number": "704-384-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-5631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "CHRISTIAN",
        "middle_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2019-01471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckirkland725368@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "625 19th St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352331900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.