NPIMap

Individual provider Active NPI

Kimber Henry, PA

  • Physician Assistant
  • Wade, NC
National Provider Identifier
1013502145
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7118 Main St
Wade, NC 28395-9749
Phone
(910) 483-6694
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7118 Main St
Wade, NC 28395-9749

Mailing address

909 Robert Laney Dr
Conway, SC 29527-4876
Phone (843) 246-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211004001730 NC Practitioner - Physician Assistant 3678971769 Reassigns benefits to 2 organizations
I20240905001989 FL Practitioner - Physician Assistant 3678971769 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopscotch Primary Care PLLCGroup PAC ID 7911173380, 47 clinicians

Practice addresses (Care Compare)

3060 Hickory Blvd
Hudson, NC 28638-2659
Phone (828) 203-2202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hopscotch Primary Care, PLLC Family Medicine CurrentSince Aug 8, 2025 Accepting new patients
Stedman - Wade Health Services, Inc Family Medicine CurrentSince Jun 17, 2021 Accepting new patients
Raleigh Durham Medical Group PA Family Medicine PastSince Aug 8, 2025 Accepting new patients
Hopscotch Primary Care Group, PA Family Medicine Past Accepting new patients

Locations

6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898

3060 Hickory Blvd
Hudson, NC 28638
Phone (828) 728-2080

2845 Sugar Hill Rd
Ste 10
Marion, NC 28752
Phone (828) 398-0120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7912/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kimber.henry.1@26812.direct.athenahealth.com

Organizations & group practices 9

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1013502145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ROBERT LANEY DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295274876",
            "telephone_number": "843-246-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 MAIN ST",
            "city": "WADE",
            "state": "NC",
            "postal_code": "283959749",
            "telephone_number": "910-483-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KIMBER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wade, NC

Sources for this page

Verify at the official NPI Registry.