Stephanie Pettus Kwon, MD
Pediatrics Physician · Charlotte, NC
Stephanie Pettus Kwon, MD is a pediatrics physician with a practice address in Charlotte, North Carolina, and NPI 1063772374, issued on May 21, 2012. Check the license (North Carolina 2015-00556, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- Stephanie Pettus Kwon
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 2015-00556 NC
Self-reported in NPPES; status is on the state search - Practice location
- 4501 Cameron Valley Pkwy, Charlotte, NC 28211
- Phone
- (704) 367-7400
- Enumerated
- May 21, 2012
- Record last updated
- Jul 15, 2024
- Medicare enrollment
- Enrolled (PECOS I20151201000012); accepts Medicare assignment
- Medical or professional school
- Medical University Of South Carolina College Of Medicine, 2012
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,356 in North Carolina → Look up another NPI →
Also registered at 4501 Cameron Valley Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sungeeta Agrawal, MDPediatric Endocrinology Physician1851669980
- Perry Almquist, MDPediatrics Physician1396759205
- Rachel Bozin, MDPediatrics Physician1992970123
- Jeffrey Cleveland, MDPediatrics Physician1497779003
- Lisa Cruz Aviles, MDPediatrics Physician1346521531
- Jennifer Dicicco, DPTPediatric Physical Therapist1255584330
Verify Stephanie Pettus Kwon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2015-00556Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Carolinas Physicians Network IncCharlotte, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stephanie Pettus Kwon among 2,356 pediatrics physician records in North Carolina
Stephanie Pettus Kwon, MD is one of 2,356 pediatrics physician records with a practice address in North Carolina. 35% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 73% of them.
- NPI issued2012 · 73% of these records are older, 25% newer
- In a Medicare fileYes · 35% of these records are
- In the CMS Doctors and Clinicians fileYes · 10% of these records are
- Graduated2012 · median 2009 among the 240 with a school on file
- Record last updated2024 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
382 pediatrics physician records list a practice address in Charlotte
They are 382 of the 23,603 NPPES records with a practice address in Charlotte, and 2,356 pediatrics physician records in North Carolina.
All 2,356 in North Carolina → Every provider in Charlotte → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Joy Ball, M.DCharlotte, NC 282111366444218
- Herbert Clegg, MDCharlotte, NC 282111669468237
- Jeffrey Cleveland, MDCharlotte, NC 282111497779003
- Hal Copple, M.D.Charlotte, NC 282111437170776
- Mary Felkner, MDCharlotte, NC 282111497740096
- Barry Golembe, MDCharlotte, NC 282111326062761
- Edward Martin, M.D.Charlotte, NC 282111750377131
- Preeti Matkins, MDCharlotte, NC 282111669405254
Common questions
What is Stephanie Pettus Kwon, MD's NPI number?
Stephanie Pettus Kwon, MD's National Provider Identifier (NPI) is 1063772374, issued on May 21, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Stephanie Pettus Kwon, MD located?
The NPPES record lists a practice address at 4501 Cameron Valley Pkwy, Charlotte, NC, 28211. Phone: (704) 367-7400. Providers update this record themselves, so call before visiting.
How can I verify Stephanie Pettus Kwon, MD's license?
NPPES lists North Carolina license number 2015-00556, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.