Individual provider Active NPI

Kimberly Giesen Daniele, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1972805547
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02926 Issued in NC
Practice address
2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone
(704) 316-4136
Fax
(704) 417-4814
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02926 NC Primary

Addresses

Primary practice location

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614

Mailing address

PO Box 604042
Charlotte, NC 28260-4042

Other practice location 1

108 Providence Rd
Charlotte, NC 28207-1218
Phone (980) 302-8477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdaniele510740@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000041 NC Practitioner - Physician Assistant 0648467431 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH Digital Health Services LLCGroup PAC ID 9537588934, 37 clinicians

Practice addresses (Care Compare)

2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Phone (336) 277-8770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NH Digital Health Services, LLC CurrentSince Oct 4, 2024 Accepting new patients
NH Digital Health Services, LLC CurrentSince Oct 4, 2024 Accepting new patients
Novant Medical Group Inc CurrentSince Sep 1, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 19, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 19, 2019 Accepting new patients
Lumberton Emergency Medical Associates PC PastSince Oct 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Wood County, PLLC Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Bestpractices of West Virginia, Inc. Past Accepting new patients

Locations

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

14330 Oakhill Park Ln
Ste 115
Huntersville, NC 28078
Phone (704) 316-1265

2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1972805547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604042",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 FRONTIS PLAZA BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035614",
            "telephone_number": "704-316-4136",
            "fax_number": "704-417-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071218",
            "country_code": "US",
            "telephone_number": "980-302-8477",
            "fax_number": "980-302-8478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELE",
        "first_name": "KIMBERLY",
        "middle_name": "GIESEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdaniele510740@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "300 W 27th St",
            "address_2": "Emergency Dept",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.