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KINDBODY PC
NPI 1669268397
Obstetrics & Gynecology - Reproductive Endocrinology in Charlotte, NC

Active since April 18, 2025CLIA 34D2312489 · Waiver
420 PROVIDENCE RD, CHARLOTTE, NC 28207(980) 242-5345(980) 895-4525 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kindbody Pc NPPES

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

KINDBODY PC (NPI 1669268397) is a healthcare organization registered as a reproductive endocrinology in Charlotte, North Carolina and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Marianne F Debenedictis, Svp, Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1669268397
Entity TypeOrganization
Primary Taxonomy207VE0102X
Legal Business NameKINDBODY PC
Location Address420 PROVIDENCE RDCharlotte, NC 28207
Mailing Address1455 N Milwaukee Ave Fl 2Chicago, IL 60622-2015
Phone(980) 242-5345
Fax(980) 895-4525
Organization SubpartNo
Authorized OfficialMarianne F DebenedictisSvp, Payor Relations · (713) 254-3601
Enumeration DateApril 18, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1669268397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
420 PROVIDENCE RD, Charlotte, NC 28207
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 34D2312489

Peach State Medical Practice PC Dba Kindbody Of Nc · Charlotte, NC
Active · expires Oct 13, 2026
CLIA Number34D2312489
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorKristen Cain
Laboratory Phone(980) 242-5345
Laboratory LocationPeach State Medical Practice PC Dba Kindbody Of Nc420 Providence Road, Charlotte, NC 28207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PEACH STATE MEDICAL PRACTICE, PC
Obstetrics & Gynecology (Reproductive Endocrinology)
420 PROVIDENCE RD
CHARLOTTE, NC 28207
Mecklenburg County (855) 563-2639

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 Kindbody PC's NPI number?

The NPI number for Kindbody PC is 1669268397. It was assigned to this organization in the NPPES registry on April 18, 2025.

Where is Kindbody PC located?

Kindbody PC is located at 420 Providence Rd, Charlotte, NC 28207. The listed phone number is (980) 242-5345.

What is Kindbody PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Does Kindbody PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2312489) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kindbody PC was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.