MRS. KIMBERLY ANN CHURCHILL PA-C
NPI 1912339052
Physician Assistant in Charlotte, NC

Active since July 31, 2013PECOS Enrolled
2001 VAIL AVE, SUITE 200, CHARLOTTE, NC 28207(704) 323-2000 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kimberly Ann Churchill Pa-c NPPES

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

MRS. KIMBERLY ANN CHURCHILL PA-C (NPI 1912339052) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-04402) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912339052
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIMBERLY ANN CHURCHILLCredential: PA-C
Location Address2001 VAIL AVE, SUITE 200Charlotte, NC 28207-1248
Mailing AddressPo Box 33369Charlotte, NC 28233-3369 · (704) 916-2108 · Fax (704) 365-2073
Sole ProprietorNo
Enumeration DateJuly 31, 2013
Last NPPES UpdateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
NPI 1912339052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-04402
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2001 VAIL AVE, Charlotte, NC 28207

Other Names 1

Former Name (1)Miss Kimberly Ann Gray

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kimberly Ann Churchill Pa-c 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.

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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

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 Kimberly Churchill's NPI number?

The NPI number for Kimberly Churchill is 1912339052. It was assigned to this individual provider in the NPPES registry on July 31, 2013. The provider is also known as Miss Kimberly Ann Gray.

Where is Kimberly Churchill located?

Kimberly Churchill practices at 2001 Vail Ave Suite 200, Charlotte, NC 28207. The listed phone number is (704) 323-2000.

What is Kimberly Churchill's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Churchill enrolled in Medicare?

Yes. Kimberly Churchill is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Churchill accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Kimberly Churchill 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 Kimberly Churchill was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.