Active NPI
Kimberly Michelle Morton, NP
- Nurse Practitioner
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 960056
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118075 | Other | NC | MEDICAL BOARD |
| 121777 | Other | NC | BOARD OF NURSING |
Other names 1
- Kimberly Michelle Boaze
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 960056 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRX High Point, PLLC | Current | Accepting new patients | |
| Diamond Family Practice, PLLC | Family Medicine | Current | Accepting new patients |
| Generations Family Practice, PA | Current | 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.
-
- Multi-Specialty Clinic/Center
- High Point, NC
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-
- Family Medicine Physician
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- NPI 1407902059
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1780652693
-
- Internal Medicine Physician
- Asheboro, NC
- NPI 1043894504
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1952626855
-
- Emergency Medicine Physician
- Danville, VA
- NPI 1598718751
-
- Emergency Medicine Physician
- Galax, VA
- NPI 1417187667
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.