Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHRYN GRACE EAKER MD
NPI 1124156229
Pediatrics in Charlotte, NC

Q: What is Kathryn Eaker's NPI number?

The NPI number for Kathryn Eaker is 1124156229. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Kathryn Eaker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Eaker was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since March 01, 2007PECOS Enrolled

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1422 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2023, Feb 28, 2023, Jan 27, 2023 and 53 more (56 updates tracked since 2018).

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About Kathryn Grace Eaker Md NPPES

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

KATHRYN GRACE EAKER MD (NPI 1124156229) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2007-00702) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1124156229

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHRYN GRACE EAKERCredential: MD

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 446-1422

Sole ProprietorNo

Enumeration DateMarch 1, 2007

Last NPPES UpdateOctober 19, 202656 updates tracked since enumeration

NPPES CertifiedOctober 19, 2026

✔ NPI 1124156229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2007-00702

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 2007-00702 (NC)

1350 S KINGS DR, Charlotte, NC 28207

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Secondary Practice Location 1

Location 11001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Grace Eaker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Eaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Medical Center

Same address

Internal Medicine

1350 S KINGS DR
Charlotte, NC 28207

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1073754131 (704) 446-1242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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 20

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

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)