Individual provider Active NPI

Amy Gunn Kemmerlin, NP

  • Women's Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1891389656
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5014627 Issued in NC
Practice address
330 Billingsley Rd Ste 100
Charlotte, NC 28211-3096
Phone
(704) 495-6334
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014627 NC
Women's Health Nurse Practitioner 363LW0102X 5014627 NC Primary
Family Nurse Practitioner 363LF0000X 28500 SC

Addresses

Primary practice location

330 Billingsley Rd Ste 100
Charlotte, NC 28211-3096

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other practice location 1

10635 Park Rd Ste I
Charlotte, NC 28210-8408
Phone (704) 495-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211111002827 NC Practitioner - Hematology/Oncology 1456740414
I20240821003047 SC Practitioner - Nurse Practitioner 1456740414
I20250703003036 NC Practitioner - Nurse Practitioner 1456740414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

330 Billingsley Rd
Suite 100
Charlotte, NC 28211-3096
Phone (704) 495-6334

Merit-based Incentive Payment System (MIPS)

Final score
93.89 of 100Reported as group
Quality
83.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014627NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tryon Medical Partners, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Carolina Oncology Specialist PA CurrentSince Oct 16, 2025 Accepting new patients

Locations

10635 Park Rd
Ste F
Charlotte, NC 28210
Phone (704) 342-1900

10635 Park Rd
Ste I
Charlotte, NC 28210
Phone (704) 495-6025

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

330 Billingsley Rd
Ste 100
Charlotte, NC 28211
Phone (704) 367-8415

Interoperability endpoints

  • Direct secure messaging: amy.kemmerlin.1@17847.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1891389656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BILLINGSLEY RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113096",
            "telephone_number": "704-495-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10635 Park Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108408",
            "country_code": "US",
            "telephone_number": "704-495-6334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMMERLIN",
        "first_name": "AMY",
        "middle_name": "GUNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014627",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5014627",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.