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

Mrs. Mary Katherine King

Individual provider Gerontology Nurse Practitioner · NPI 1508306226

Mrs. Mary Katherine King is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2016, 10 years ago. Practices with Chma of Nc, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

6047 Tyvola Glen Cir Ste 100
Charlotte, NC 28217-6431
Phone: (443) 383-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3803 N Elm St, Greensboro, NC 27455-2593 — (704) 682-2645

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5009332 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5009332 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5009332 (NC)

Record details

NPI number1508306226
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2017
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Chma Of Nc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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