NPIMap

Individual provider Active NPI

Kimberly Fayette Jean Hensley, DO

  • Hospitalist Physician
  • Bolivia, NC
National Provider Identifier
1013238138
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2013-01824 Issued in NC
Practice address
240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone
(910) 721-2070
Fax
(910) 721-2074
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2013-01824 NC
Family Medicine Physician 207Q00000X LL1391 SC
Hospitalist Physician 208M00000X 2013-01824 NC Primary

Addresses

Primary practice location

240 Hospital Dr NE
Bolivia, NC 28422-8346

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 721-2070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfife681495@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422001432 NC Practitioner - HospitalistPractitioner - Family Practice 4183856321 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
West Virginia School of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Southeastern Medical Group PCGroup PAC ID 8921030719, 37 clinicians

Practice addresses (Care Compare)

124 One Ctr CT
Franklin, NC 28734-0192
Phone (828) 524-8411

240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (910) 721-1330

260 Hospital Dr
Brevard, NC 28712-3378
Phone (828) 884-9111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL1391SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Community Hospital, LLC CurrentSince Sep 29, 2019 Accepting new patients
Columbus Regional Health Network CurrentSince Aug 7, 2023 Accepting new patients
Scotland Regional Health Network CurrentSince Aug 7, 2023 Accepting new patients
Columbus Regional Health Network Hospitalist CurrentSince Aug 7, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Dec 1, 2023 Accepting new patients
Bladen Healthcare, LLC CurrentSince Jan 29, 2014 Accepting new patients
Bladen Healthcare LLC CurrentSince Jan 29, 2014 Accepting new patients
Southeastern Medical Group, PC Hospitalist CurrentSince Aug 1, 2025 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Scotland Regional Health Network Hospitalist CurrentSince Aug 7, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: kfife2421503@direct.bsmhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1013238138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "910-721-2070",
            "fax_number": "910-721-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL DR NE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228346",
            "telephone_number": "910-721-2070",
            "fax_number": "910-721-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "KIMBERLY",
        "middle_name": "FAYETTE JEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-01824",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL1391",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2013-01824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfife681495@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "240 Hospital Dr NE",
            "city": "Bolivia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284228346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.