Individual provider Active NPI

Kenneth Allen Anderson, PA

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1073569224
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00519 Issued in NC
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071119000688 NC Practitioner - Physician Assistant 4688606684 Reassigns benefits to 2 organizations

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
Unifour Family Practice PLLCGroup PAC ID 1759459829, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Foothills Internal Medicine Physician Assistant Past Accepting new patients
Parkway Internal Medicine PLLC Physician Assistant Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDHAAA/Endpoint/IDHAAA
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.