Timothy Devin Kallam, PA-C
Physician Assistant · Charlotte, NC
Timothy Devin Kallam, PA-C is a physician assistant with a practice address in Charlotte, North Carolina, and NPI 1922610328, issued on Aug 18, 2020. Check the license (North Carolina 0010-10336, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Timothy Devin Kallam
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 0010-10336 NC
Self-reported in NPPES; status is on the state search - Practice location
- 9915 Park Cedar Dr, Charlotte, NC 28210
- Phone
- (704) 544-3263
- Enumerated
- Aug 18, 2020
- Record last updated
- Aug 18, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210317000387); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 9,279 in North Carolina → Look up another NPI →
Also registered at 9915 Park Cedar Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Alyssa Bland, PHARMDPharmacist1437031481
- Tiffany Brunson, FNP-CFamily Nurse Practitioner1770018095
- Jennifer Bryson, PAPhysician Assistant1831171404
- Caren FinwallPharmacist1639475361
- Tyriss Gordon, FNPFamily Nurse Practitioner1790657500
Verify Timothy Devin Kallam in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-10336Check 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
- Active Life Health OF Greensboro PLLCGreensboro, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Timothy Devin Kallam among 9,279 physician assistant records in North Carolina
Timothy Devin Kallam, PA-C is one of 9,279 physician assistant records with a practice address in North Carolina. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 67% of them.
- NPI issued2020 · 67% of these records are older, 28% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2019 · median 2017 among the 6,366 with a school on file
- Record last updated2020 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,308 physician assistant records list a practice address in Charlotte
They are 1,308 of the 23,603 NPPES records with a practice address in Charlotte, and 9,279 physician assistant records in North Carolina.
All 9,279 in North Carolina → Every provider in Charlotte → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Charles Aaron, PACharlotte, NC 282101396718037
- Jessica Ambrose, PACharlotte, NC 282101922034016
- James Anderson, PACharlotte, NC 282101386606622
- Raymond Brown, P.A.Charlotte, NC 282101679541429
- Jennifer Bryson, PACharlotte, NC 282101831171404
- Mary Dore, PA-CCharlotte, NC 282101942220207
- Mary Horne, PA-CCharlotte, NC 282101477509958
- Julie Incorvaia, PACharlotte, NC 282101437124195
Common questions
What is Timothy Devin Kallam, PA-C's NPI number?
Timothy Devin Kallam, PA-C's National Provider Identifier (NPI) is 1922610328, issued on Aug 18, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Devin Kallam, PA-C located?
The NPPES record lists a practice address at 9915 Park Cedar Dr, Charlotte, NC, 28210. Phone: (704) 544-3263. Providers update this record themselves, so call before visiting.
How can I verify Timothy Devin Kallam, PA-C's license?
NPPES lists North Carolina license number 0010-10336, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
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.