MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
NPI 1144803040
Clinic/Center - Urgent Care in Locust, NC
About Mainstreet And Kidsstreet Of North Carolina Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC (NPI 1144803040) is a healthcare organization registered as an urgent care in Locust, North Carolina and active in the NPI registry since April 2021. The organization holds 8 active CLIA laboratory certificates and lists Krista Rock, Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mainstreet And Kidsstreet Of North Carolina Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
105Medicare enrollment records show 105 clinicians reassign Medicare billing to Mainstreet And Kidsstreet Of North Carolina PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 105Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 8
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2251475
Mainstreet & Kidsstreet Of North Carolina, PLLC · Locust, NCCertificate of Waiver 34D2311921
Mainstreet And Kidsstreet Of North Carolina, PLLC · Swansboro, NCCertificate of Compliance 34D2299045
Mainstreet And Kidsstreet Of North Carolina, PLLC · Wake Forest, NCCertificate of Waiver 34D2288789
Mainstreet And Kidsstreet Of North Carolina, PLLC · Forest City, NCCertificate of Waiver 34D2288790
Mainstreet And Kidsstreet Of North Carolina, PLLC · Winston-Salem, NCCertificate of Waiver 34D2286716
Mainstreet And Kidsstreet Of North Carolina, PLLC · Havelock, NCFrequently 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 Mainstreet And Kidsstreet Of North Carolina PLLC's NPI number?
The NPI number for Mainstreet And Kidsstreet Of North Carolina PLLC is 1144803040. It was assigned to this organization in the NPPES registry on April 29, 2021.
Where is Mainstreet And Kidsstreet Of North Carolina PLLC located?
Mainstreet And Kidsstreet Of North Carolina PLLC is located at 130 James Ave, Locust, NC 28097. The listed phone number is (205) 545-5085.
What is Mainstreet And Kidsstreet Of North Carolina PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Mainstreet And Kidsstreet Of North Carolina PLLC enrolled in Medicare?
Yes. Mainstreet And Kidsstreet Of North Carolina PLLC is registered in the Medicare PECOS enrollment system.
When is Mainstreet And Kidsstreet Of North Carolina PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mainstreet And Kidsstreet Of North Carolina PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 105 clinicians in 3 Medicare specialties reassign their Medicare billing to Mainstreet And Kidsstreet Of North Carolina PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (102), Family Practice (2) and Hospitalist (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mainstreet And Kidsstreet Of North Carolina PLLC hold CLIA laboratory certificates?
Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Mainstreet And Kidsstreet Of North Carolina PLLC accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Mainstreet And Kidsstreet Of North Carolina PLLC 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.
When was this NPI record last updated?
The NPPES record for Mainstreet And Kidsstreet Of North Carolina PLLC was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Mainstreet And Kidsstreet Of North Carolina Pllc · NPI 1144803040
Urgent Care organization in Locust, North Carolina. Organization record, active in the CMS NPPES registry since April 29, 2021.
## Identity
- **NPI:** 1144803040 (Entity type: Organization)
- **Enumerated:** April 29, 2021
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Krista Rock, VP
## Practice location
- **Address:** 130 JAMES AVE, Locust, NC 28097-4506
- **Phone:** (205) 545-5085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 105 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (102), Family Practice (2), Hospitalist (1); 1 practice at this address; [full list](https://npiprofile.com/npi/1144803040/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2026
- **CLIA laboratory certificates:** 8 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144803040) · Data from the CMS NPPES public registry.