Active NPI
Amy Gunn Kemmerlin, NP
- Women's Health Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 5014627
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
- Quality
- 83.01
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014627 | NC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tryon Medical Partners, PLLC | Current | Accepting new patients | |
| Carolina Oncology Specialist PA | Current | 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
- 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.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1992204549
-
- Medical Oncology Physician
- Hickory, NC
- NPI 1356305841
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.