Individual provider Active NPI

Kelly Kaur Boyd

  • Allergy & Immunology Physician
  • Charlotte, NC
National Provider Identifier
1982191987
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2023-00824 Issued in NC
Practice address
2600 E 7TH St Unit a
Charlotte, NC 28204-4398
Phone
(704) 372-7900
Fax
(704) 376-2216
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 89371 SC
Pediatrics Physician 208000000X 2023-00824 NC
Allergy & Immunology Physician 207K00000X 2023-00824 NC Primary

Addresses

Primary practice location

2600 E 7TH St Unit a
Charlotte, NC 28204-4398

Mailing address

1240 Lee St
Charlottesville, VA 22908-0817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803003071 NC Practitioner - Allergy/Immunology 2466853544 Reassigns benefits to 1 organization
I20230920000145 SC Practitioner - Allergy/Immunology 2466853544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Brody School of Medicine at East Carolina University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Asthma and Allergy Center PAGroup PAC ID 0345144341, 33 clinicians

Practice addresses (Care Compare)

2600 E 7TH St
Unit a
Charlotte, NC 28204-4398
Phone (704) 372-7900

420 Herlong Ave S
Suite 101
Rock Hill, SC 29732-1091
Phone (803) 327-2355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023-00824NCMDAllergy & Immunology Physician
89371SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Asthma and Allergy Center PA Allergy & Immunology CurrentSince Sep 18, 2023 Accepting new patients

Locations

5970 Fairview Rd
Ste 500
Charlotte, NC 28210
Phone (704) 680-3140

2600 E 7th St
Unit A
Charlotte, NC 28204
Phone (704) 998-0840

912 2nd St NE
Hickory, NC 28601
Phone (828) 267-1916

420 Herlong Ave S
Ste 101
Rock Hill, SC 29732
Phone (803) 327-2355

Interoperability endpoints

  • Direct secure messaging: kboyd80761@direct.phhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelly.boyd.p1@direct.caac.nextgenshare.com

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1982191987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044398",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KELLY",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "89371",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2023-00824",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2023-00824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.