KEVIN C ADDISON MD
NPI 1295750651
Pediatrics - Neonatal-Perinatal Medicine in Mooresville, NC

Q: What is Kevin Addison's NPI number?

The NPI number for Kevin Addison is 1295750651. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Kevin Addison's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Addison was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 13, 2006PECOS Enrolled

171 FAIRVIEW RD, MOORESVILLE, NC 28117(704) 660-4390(704) 660-4399 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin C Addison Md NPPES

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

KEVIN C ADDISON MD (NPI 1295750651) is an individual neonatal-perinatal medicine provider in Mooresville, North Carolina, licensed in North Carolina (2006-00447) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295750651

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameKEVIN C ADDISONCredential: MD

Location Address171 FAIRVIEW RDMooresville, NC 28117-9500

Mailing Address171 Fairview RdMooresville, NC 28117-9500 · (704) 660-4390 · Fax (704) 660-4399

Phone(704) 660-4390

Fax(704) 660-4399

Sole ProprietorNo

Enumeration DateJuly 13, 2006

Last NPPES UpdateAugust 31, 2021

NPPES CertifiedAugust 31, 2021

✔ NPI 1295750651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in NC · 2006-00447

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedHospitalistTaxonomy 208M00000X · License 0101272440 (VA)

171 FAIRVIEW RD, Mooresville, NC 28117

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Other Identifiers 1

Medicaid5904803NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin C Addison 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.

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.

INPATIENT CARE

Hospitalist