Individual provider Active NPI

Grace Kittrell Perez, PA-C

  • Reproductive Endocrinology Physician
  • Charlotte, NC
National Provider Identifier
1942777545
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
0010-08272 Issued in NC
Practice address
1524 E Morehead St
Charlotte, NC 28207-1606
Phone
(704) 343-3400
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 0010-08272 NC Primary
Physician Assistant 363A00000X 0010-08272 NC

Addresses

Primary practice location

1524 E Morehead St
Charlotte, NC 28207-1606

Mailing address

1524 E Morehead St
Charlotte, NC 28207-1606
Phone (512) 659-1911

Other practice location 1

14135 Ballantyne Corporate Pl
Charlotte, NC 28277-3383
Phone (704) 343-3400

Other practice location 2

105 Landings Dr Ste 202
Mooresville, NC 28117-7672
Phone (704) 343-3400

Other names 1

  • Miss Grace Corinne Kittrell Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190108003670 NC Practitioner - Physician Assistant 3375889538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Fertility, PLLC Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 1

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1942777545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071606",
            "telephone_number": "512-659-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071606",
            "telephone_number": "704-343-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14135 Ballantyne Corporate Pl",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773383",
            "country_code": "US",
            "telephone_number": "704-343-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Landings Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281177672",
            "country_code": "US",
            "telephone_number": "704-343-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GRACE",
        "middle_name": "KITTRELL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NC",
            "license": "0010-08272",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "KITTRELL",
            "middle_name": "CORINNE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.