Individual provider Active NPI

Kimberly Michelle Morton, NP

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1023086972
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
960056 Issued in NC
Practice address
1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Phone
(336) 286-5505
Fax
(336) 286-5583
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 121777 NC
Family Nurse Practitioner 363LF0000X 960056 NC
Nurse Practitioner 363L00000X 960056 NC Primary

Addresses

Primary practice location

1309 Lees Chapel Rd
Greensboro, NC 27455-2601

Mailing address

1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Phone (336) 286-5505

Other practice location 1

138 Dublin Square Rd
Asheboro, NC 27203-8600
Phone (336) 510-1800

Other practice location 2

420 W Mountain St
Kernersville, NC 27284-2534
Phone (336) 993-1618

Other practice location 3

300 Mack Rd Ste B
Asheboro, NC 27205-1066
Phone (336) 510-0202

Other identifiers 2

IdentifierTypeStateIssuer
118075OtherNCMEDICAL BOARD
121777OtherNCBOARD OF NURSING

Other names 1

  • Kimberly Michelle Boaze Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000087 NC Practitioner - Nurse Practitioner 5092727552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRX High Point PLLCGroup PAC ID 7113061730, 48 clinicians

Practice addresses (Care Compare)

1653 New Garden Rd
Suite 103
Greensboro, NC 27410-2001
Phone (336) 609-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
960056NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DRX High Point, PLLC CurrentSince Jan 30, 2024 Accepting new patients
Diamond Family Practice, PLLC Family Medicine Current Accepting new patients
Generations Family Practice, PA CurrentSince Sep 13, 2021 Accepting new patients
Generations Family Practice, PA Family Medicine Current Accepting new patients
Hillcrest Urgent Care, Family Practice, PLLC Family Medicine Past Accepting new patients
Emergency Physicians of Southern Virginia LLP Nurse Practitioner Past Accepting new patients
Danville Emergency Physicians, PC Past Accepting new patients

Locations

138 Dublin Square Rd
Asheboro, NC 27203
Phone (336) 510-1800

300 Mack Rd
#B
Asheboro, NC 27205
Phone (336) 510-0202

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

1653 New Garden Rd
Ste 103
Greensboro, NC 27410
Phone (336) 609-6000

1309 Lees Chapel Rd
Greensboro, NC 27455
Phone (336) 286-5505

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

420 W Mountain St
Kernersville, NC 27284
Phone (336) 992-2192

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1023086972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 LEES CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552601",
            "telephone_number": "336-286-5505",
            "fax_number": "336-286-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 LEES CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552601",
            "telephone_number": "336-286-5505",
            "fax_number": "336-286-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Dublin Square Rd",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272038600",
            "country_code": "US",
            "telephone_number": "336-510-1800",
            "fax_number": "919-890-8529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 W Mountain St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842534",
            "country_code": "US",
            "telephone_number": "336-993-1618",
            "fax_number": "336-993-5512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mack Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272051066",
            "country_code": "US",
            "telephone_number": "336-510-0202",
            "fax_number": "336-493-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTON",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "121777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "960056",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "960056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "118075",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "121777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOAZE",
            "middle_name": "MICHELLE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.