MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
NPI 1144803040
Clinic/Center - Urgent Care in Locust, NC

Active since April 29, 2021CLIA Certified · 25 labs
130 JAMES AVE, LOCUST, NC 28097(205) 545-5085 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 20, 2026, Apr 29, 2022, Apr 29, 2021 (3 updates tracked since 2021).

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 25 active CLIA laboratory certificates and lists Krista Rock, Vp, as its authorized official.

NPPES Registry Identity

NPI1144803040
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC
Location Address130 JAMES AVELocust, NC 28097-4506
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866 · (205) 545-5085
Organization SubpartNo
Authorized OfficialKrista RockVp · (205) 545-5090
Enumeration DateApril 29, 2021
Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1144803040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
130 JAMES AVE, Locust, NC 28097

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.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20220302000414Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

105

Medicare 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

Nurse Practitioner102
Family Practice2
Hospitalist1

Nearest to this location (20)

See all 105
Nurse Practitioner
NPI 1417679010
130 JAMES AVE
Locust, NC 28097
(704) 271-3777
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104497171
13460 PLAZA ROAD EXT STE 100
Charlotte, NC 28215
(704) 316-4990
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1972945673
10039 UNIVERSITY CITY BLVD
Charlotte, NC 28213
(704) 625-2594
✔ PECOS15 mi
Nurse Practitioner
NPI 1013721133
10039 UNIVERSITY CITY BLVD STE A
Charlotte, NC 28213
(704) 625-2594
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1508745639
10039 UNIVERSITY CITY BLVD STE A
Charlotte, NC 28213
(704) 625-2594
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1811865199
10039 UNIVERSITY CITY BLVD STE A
Charlotte, NC 28213
(704) 625-2594
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1023049954
6066 W HIGHWAY 74
Indian Trail, NC 28079
(980) 993-7150
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1659834984
703 LEONARD AVE
Albemarle, NC 28001
(704) 550-0050
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1952767923
9325 JW CLAY BLVD STE 221
Charlotte, NC 28262
(704) 863-9050
✔ PECOS✔ Accepts Medicare17 mi
Hospitalist
NPI 1043704737
8800 N TRYON ST
Charlotte, NC 28262
(704) 863-6241
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1184236218
8420 UNIVERSITY EXEC PARK DR STE 850
Charlotte, NC 28262
(704) 384-1225
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1295480952
200 GREENWICH RD
Charlotte, NC 28211
(704) 384-8680
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1962059428
6523 DILLARD RIDGE DR
Charlotte, NC 28216
(313) 850-4871
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1659665289
1012 LADERA DR
Marvin, NC 28173
(513) 515-9225
✔ PECOS27 mi
Nurse Practitioner
NPI 1629752860
201 WOODSON ST STE A
Salisbury, NC 28144
(704) 639-0097
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1063273274
1908 E FRANKLIN BLVD # 100
Gastonia, NC 28054
(704) 271-1215
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1831876002
2501 LINCOLNTON HWY
Cherryville, NC 28021
(704) 445-7162
✔ PECOS51 mi
Nurse Practitioner
NPI 1164295010
2501 LINCOLNTON HWY
Cherryville, NC 28021
(704) 445-7162
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1154942035
2501 LINCOLNTON HWY
Cherryville, NC 28021
(704) 445-7162
✔ PECOS51 mi
Nurse Practitioner
NPI 1700597788
680 S STRATFORD RD
Winston Salem, NC 27103
(336) 793-1422
✔ PECOS✔ Accepts Medicare58 mi
See all 105 clinicians

Source: 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 25

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, NC
Active · expires Feb 2, 2028
CLIA Number34D2251475
Laboratory TypeUrgent Care
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorTimothy P. Taylor
Laboratory Phone(205) 545-5085
Laboratory LocationMainstreet & Kidsstreet Of North Carolina, PLLC130 James Ave, Locust, NC 28097
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2271853

Mainstreet And Kidsstreet Of North Carolina, PLLC · Erwin, NC
Active · expires Nov 8, 2028
CLIA Number34D2271853
Laboratory TypeUrgent Care
Certificate Effective DateNovember 9, 2026
Certificate Expiration DateNovember 8, 2028
Laboratory DirectorTimothy P. Taylor
Laboratory Phone(205) 545-5085
Laboratory LocationMainstreet And Kidsstreet Of North Carolina, PLLC25 Professional Park, Erwin, NC 28339
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2271855

Mainstreet And Kidsstreet Of North Carolina, PLLC · Smithfield, NC
Active · expires Nov 8, 2028
CLIA Number34D2271855
Laboratory TypeUrgent Care
Certificate Effective DateNovember 9, 2026
Certificate Expiration DateNovember 8, 2028
Laboratory DirectorTimothy P. Taylor
Laboratory Phone(205) 545-5085
Laboratory LocationMainstreet And Kidsstreet Of North Carolina, PLLC1202 N Brightleaf Blvd Suite C, Smithfield, NC 27577
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2271866

Mainstreet And Kidsstreet Of North Carolina, PLLC · Liberty, NC
Active · expires Nov 8, 2028
CLIA Number34D2271866
Laboratory TypeUrgent Care
Certificate Effective DateNovember 9, 2026
Certificate Expiration DateNovember 8, 2028
Laboratory DirectorTimothy P. Taylor
Laboratory Phone(205) 545-5085
Laboratory LocationMainstreet And Kidsstreet Of North Carolina, PLLC246 West Swannanoa Ave, Liberty, NC 27298
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2271869

Mainstreet And Kidsstreet Of North Carolina, PLLC · Tarboro, NC
Active · expires Nov 8, 2028
CLIA Number34D2271869
Laboratory TypeUrgent Ccare
Certificate Effective DateNovember 9, 2026
Certificate Expiration DateNovember 8, 2028
Laboratory DirectorTimothy P. Taylor
Laboratory Phone(205) 545-5085
Laboratory LocationMainstreet And Kidsstreet Of North Carolina, PLLC110 Western Blvd, Tarboro, NC 27886
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2311921

Mainstreet And Kidsstreet Of North Carolina, PLLC · Swansboro, NC
Active · expires Sep 30, 2028
CLIA Number34D2311921
Laboratory TypeUrgent Care/ Family Care
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorTimothy Taylor
Laboratory Phone(205) 545-5085
Laboratory LocationMainstreet And Kidsstreet Of North Carolina, PLLC1058 W Corbett Ave, Swansboro, NC 28584
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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. 25 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 Health, 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.