Active NPI
Kameron Logan, DC
- Chiropractor
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5380
- Practice address
- 202 S Old Statesville Rd Ste a
Huntersville, NC 28078-9700 - Phone
- (704) 954-8036
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5380 | NC | Primary |
Addresses
Primary practice location
202 S Old Statesville Rd Ste a
Huntersville, NC 28078-9700
Mailing address
6401 Pamela St
Huntersville, NC 28078-6318
Other practice location 1
7918 Rea Rd Ste B
Charlotte, NC 28277-6575
Phone (704) 769-2520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Randolph Rd
Charlotte, NC 28207-1126
Phone (704) 372-9292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5380 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gys Chiro Inc | Chiropractor | Current | Accepting new patients |
Locations
2200 Randolph Rd
Ste B
Charlotte, NC 28207
Phone (704) 372-9292
2200 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-9292
3410 W Wendover Ave
Ste A
Greensboro, NC 27407
Phone (336) 274-3500
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": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1982368197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 PAMELA ST",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280786318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S OLD STATESVILLE RD STE A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789700",
"telephone_number": "704-954-8036"
}
],
"practiceLocations": [
{
"address_1": "7918 Rea Rd Ste B",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282776575",
"country_code": "US",
"telephone_number": "704-769-2520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGAN",
"first_name": "KAMERON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
- Torie Hoey Little, PMHNP-BC
- Live Well Family Chiropractic Centers, LLC (Live Well Chiropractic)
- Livingwell Counseling and Coaching
- LJP Solutions LLC (LJP Medical Solution)
- Wendie Lloyd, LPC
- Christine Ann Logue
- Christine Trinidad Lomboy, MD
- Londry Modlin Tucker & Zimmer II DDS PLLC (Happy Teeth Pediatric Dentistry - Huntersville)
- Nicole Jones Long, LCSW
- Stacey Longoria, PMHNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.