Individual provider Active NPI

Kelly Jo Hankins, MD FACOG

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1902067416
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
148655 Issued in NC
Practice address
5933 Blakeney Park Dr # 100
Charlotte, NC 28277-5713
Phone
(704) 316-2021
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 148655 NC Primary

Addresses

Primary practice location

5933 Blakeney Park Dr # 100
Charlotte, NC 28277-5713

Mailing address

PO Box 258
Wahroonga, NSW 02076
AU

Other practice location 1

2000 Wellness Blvd Ste 120
Monroe, NC 28110-3354
Phone (704) 316-2146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148655NCMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902067416",
    "addresses": [
        {
            "country_code": "AU",
            "country_name": "Australia",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 258",
            "city": "WAHROONGA",
            "state": "NSW",
            "postal_code": "02076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 BLAKENEY PARK DR # 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775713",
            "telephone_number": "704-316-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Wellness Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281103354",
            "country_code": "US",
            "telephone_number": "704-316-2146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "KELLY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD FACOG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "148655",
            "primary": true
        }
    ],
    "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.