KINDBODY OF NC MEDICAL PRACTICE, PC – NPI #1801544093
Obstetrics & Gynecology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

KINDBODY OF NC MEDICAL PRACTICE, PC is a provider located in CHARLOTTE, NC. NPPES has assigned the NPI number 1801544093 to KINDBODY OF NC MEDICAL PRACTICE, PC on March 16, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KINDBODY OF NC MEDICAL PRACTICE, PC” is a dba name, the actual legal business name for this organization is PEACH STATE MEDICAL PRACTICE, PC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 2 years ago on May 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KINDBODY OF NC MEDICAL PRACTICE, PC below.

NPI Profile for
PEACH STATE MEDICAL PRACTICE, PC

NPI Number
1801544093
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEACH STATE MEDICAL PRACTICE, PC
Doing Business As (dba): KINDBODY OF NC MEDICAL PRACTICE, PC
Primary location
420 PROVIDENCE RD
CHARLOTTE, NC 28207
Phone: (855) 563-2639 Fax:
Mailing address
333 S DESPLAINES ST STE 201
CHICAGO, IL 60661-5514
Phone: (855) 563-2639 Fax:
Organization Subpart
No
Authorized Official
FAHIMEH SASAN
FOUNDING OBGYN
Phone: (855) 563-2639
Updated
Certification Date
May 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)
207VG0400X
- Obstetrics & Gynecology / Gynecology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.