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

Stephanie Pettus Kwon, MD

Individual provider Pediatrics Physician · NPI 1063772374

Stephanie Pettus Kwon, MD practises Pediatric Medicine in Charlotte, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2012, 14 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Trained at
Medical University of South Carolina College of Medicine
Licensed in
NC
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4501 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-4297
Phone: (704) 367-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 381-8840
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1422
  • 6235 Blakeney Park Dr, Charlotte, NC 28277-5658 — (704) 512-5060
  • 332 N Trade St, Matthews, NC 28105-1728 — (704) 512-6820

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2015-00556 (NC)

Record details

NPI number1063772374
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESJuly 15, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Colleagues at Carolinas Physicians Network Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2328 clinicians in the practice; 12 are shown here.

Other providers in Charlotte