Active NPI
Kenneth Allen Anderson, PA
- Physician Assistant
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00519
- Practice address
- 2874 S NC 127 Hwy
Hickory, NC 28602-9131 - Phone
- (828) 294-4100
- Fax
- (800) 951-8614
- NPI assigned
- May 26, 2006
- Last updated
- Feb 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-00519 | NC | Primary |
Addresses
Primary practice location
2874 S NC 127 Hwy
Hickory, NC 28602-9131
Mailing address
2874 S NC 127 Hwy
Hickory, NC 28602-9131
Phone (828) 294-4100
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
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2874 S NC 127 Hwy
Hickory, NC 28602-9131
Phone (828) 294-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Internal Medicine | Physician Assistant | Past | Accepting new patients |
| Parkway Internal Medicine PLLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDHAAA/Endpoint/IDHAAA
- kenneth.anderson@ufp.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Hickory, NC
- NPI 1033128822
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Internal Medicine Physician
- Hickory, NC
- NPI 1043398209
Physician Assistant
-
- Family Medicine Physician
- Hickory, NC
- NPI 1972735603
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
dba CenterWell Home Health
- Home Health Agency
- Hickory, NC
- NPI 1316974272
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1073569224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2874 S NC 127 HWY",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029131",
"telephone_number": "828-294-4100",
"fax_number": "800-951-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 S NC 127 HWY",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029131",
"telephone_number": "828-294-4100",
"fax_number": "800-951-8614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KENNETH",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
- American Respiratory Specialist, LLC
- American Upper Cervical Spine Clinic, PLLC (Advanced Care Chiropractic)
- Amn
- Julianne Marie Amos, PHARMD
- Daniel Edward Anderson, MD
- Lyza J Anderson, CRNA
- Mark Jerome Anderson, MD
- Marnie Anderson, NP-C
- Morgan Anderson, PA-C
- Sydney Elizabeth Anderson, MS, RD, CSSD, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.