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

Keith Daniel Pittman, NP

Individual provider Nurse Practitioner · NPI 1245949593

Keith Daniel Pittman, NP is a Nurse Practitioner in Charlotte, North Carolina. Graduated from University of Missouri, Columbia School of Medicine in 2022, 4 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
NC
In the registry since
2022
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8036 Providence Rd Ste 100
Charlotte, NC 28277-0257
Phone: (980) 301-8711
Fax: (980) 301-8712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3007 Wesley Chapel Stouts Rd, Monroe, NC 28110-4007 — (704) 412-3612

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5017255 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence PITT-YU2WO (NC)

Record details

NPI number1245949593
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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