CHARLES ALEXANDER KIDD (NPI# 1396126165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396126165 |
| Entity Type | Individual |
| Full Name | CHARLES ALEXANDER KIDD |
| Credential | MD |
| Practice Address |
207 Elk Ave S Fayetteville TN 37334-3051 |
| Mailing Address |
1 Independence Pt Ste 212 Resident Enrollment Greenville SC 29615-4536 |
| Practice Telephone | 9314332551 |
| Practice Fax Number | 9314380069 |
| Mailing Telephone | 8644557844 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 56894 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 38504 | SC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 38504 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Grove Rd, Att: Residency Coordindator, Greenville, SC 296055611 | 8644557844 | 8644557848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508834193 | Charles F Kidd | Urology | 2801 W. Kinnickinnic River Parkway, Suite 370, Milwaukee, WI 53215 | 2006-03-09 |
| 1427046390 | Charles Edward Kidd Jr. | Surgery | 679 Middle Creek Rd, Sevierville, TN 37862-5014 | 2005-10-13 |
| 1154818805 | Charles J Kidd | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2018-04-18 |
| Street Address |
207 ELK AVE S |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205837440 | Elaine O Barnes | Psychologist | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2005-08-10 |
| 1932627650 | Hh Spine & Neuro- Tennessee | Physician Assistant | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2017-09-01 |
| 1225574056 | Hh Physician Care-fayetteville Medical Associates | Family Medicine | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2017-01-18 |
| 1891923124 | Bartie C Scott | Nurse Practitioner | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2009-06-25 |
| 1851534606 | Amanda Bradley | Nurse Practitioner | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2009-04-09 |
| 1609075670 | Andrea Askins Thorpe | Pediatrics | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2007-07-11 |
| 1174747604 | Kara L Hall | Nurse Practitioner | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2007-04-13 |
| 1962536110 | Rachel G Mccauley | Marriage & Family Therapist | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2007-03-16 |
| 1790862134 | Harry Troy Green | Marriage & Family Therapist | 207 Elk Ave S, Ste C, Fayetteville, TN 37334-3051 | 2006-11-01 |
| 1568566156 | Michael P Loiacono | Family Medicine | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066955 | Thomas W Atkinson Md Pa | Internal Medicine | 1670 East Joyce Blvd Suite 2, Fayetteville, AR 72703-0030 | 2020-03-03 |
| 1992171078 | Ferncreek Primary Care, PC | Internal Medicine | 1314 Medical Dr Ste 102, Fayetteville, NC 28304 | 2015-08-12 |
| 1356734917 | Deepinder Kaur | Internal Medicine | 109 Shadow Oak Ln, Fayetteville, NC 28303-5015 | 2015-03-06 |
| 1154736510 | George Augustine Blewitt Sr. | Internal Medicine | 6902 Saint Annes Dr, Fayetteville, PA 17222-9456 | 2014-06-24 |
| 1497166623 | Johnny Harris II | Internal Medicine | 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 | 2014-05-09 |
| 1255754719 | Phanindar Reddy Sadhu | Internal Medicine | Cape Fear Valley Medical Associates, 1638 Owen Drive, Fayetteville, NC 28302-2000 | 2014-02-03 |
| 1184069015 | Trey Becton | Internal Medicine | 3215 N North Hills Blvd., Fayetteville, AR 72703-4424 | 2013-05-06 |
| 1497093900 | Daniel Leon Harris | Internal Medicine | 14 Wheeler Ave, Fayetteville, NY 13066-2531 | 2013-01-18 |
| 1053669002 | Statcare,llc | Internal Medicine | 9525 Cliffdale Rd, Fayetteville, NC 28304-5956 | 2012-08-23 |
| 1104113059 | Chompunut Asava Aree | Internal Medicine | 4224 Ferncreek Dr, Fayetteville, NC 28314-2515 | 2011-06-29 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.