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KIESHA NICOLE CHERRY PA
NPI 1104387133
Physician Assistant in Charlotte, NC

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment
12016 LEMMOND FARM DR, STE 100, CHARLOTTE, NC 28227(704) 863-9615 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, Oct 25, 2023, Apr 11, 2022 and 2 more (5 updates tracked since 2019).

About Kiesha Nicole Cherry Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIESHA NICOLE CHERRY PA (NPI 1104387133) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-09608) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104387133
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIESHA NICOLE CHERRYCredential: PA
Location Address12016 LEMMOND FARM DR, STE 100Charlotte, NC 28227-8353
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 863-9615
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 31, 2019
Last NPPES UpdateJuly 15, 20245 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1104387133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-09608
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12016 LEMMOND FARM DR, Charlotte, NC 28227
Open in Google Maps ↗

Secondary Practice Locations 4

Location 17810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 25717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 310210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000
Location 45727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiesha Nicole Cherry Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012249477
PECOS Enrollment IDI20220228000168
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services65 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN RENEE BAKER PA
Physician Assistant
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615
JAMES PHILIP GRIGGS JR. MD
Family Medicine
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615
SANDRA CARPENTER TEAL FNP
Nurse Practitioner (Family)
12016 LEMMOND FARM DR, STE 200
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-0600
SHAKIMA NIXON FNP
Nurse Practitioner (Family)
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615
CAROLINAS PHYSICIANS NETWORK INC
Family Medicine
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9600
MATTHEW RYAN CIRULLO DO
Family Medicine
12016 LEMMOND FARM DR, STE 200
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-0600
CARSHENA MONIQUE WILLIAMS FNP
Nurse Practitioner (Family)
12016 LEMMOND FARM DR, STE 100
CHARLOTTE, NC 28227
Mecklenburg County (704) 863-9615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiesha Cherry's NPI number?

The NPI number for Kiesha Cherry is 1104387133. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Kiesha Cherry located?

Kiesha Cherry practices at 12016 Lemmond Farm Dr Ste 100, Charlotte, NC 28227. The listed phone number is (704) 863-9615.

What is Kiesha Cherry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kiesha Cherry enrolled in Medicare?

Yes. Kiesha Cherry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kiesha Cherry accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kiesha Cherry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kiesha Cherry affiliated with any hospitals?

According to CMS data, Kiesha Cherry is affiliated with Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Kiesha Cherry was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.