Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Thacker McKillop, FNP-C

Individual provider Nurse Practitioner · NPI 1134939689

Courtney Thacker McKillop, FNP-C is a Nurse Practitioner in Kernersville, North Carolina. Qualified in 2024, 2 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

490 Pineview Dr Ste A
Kernersville, NC 27284-3995
Phone: (336) 992-2340
Fax: (336) 992-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 5021509 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5021509 (NC)

Record details

NPI number1134939689
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kernersville