NPIMap

Individual provider Active NPI

Kevin Lee Price, M.D.

  • Surgery Physician
  • Jacksonville, NC
National Provider Identifier
1083816094
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2026-02620 Issued in NC
Practice address
317 Western Blvd
Jacksonville, NC 28546-6379
Phone
(910) 577-2345
NPI assigned
Jun 1, 2007
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2026-02620 NC Primary
Surgical Critical Care Physician 2086S0102X 2026-02620 NC

Addresses

Primary practice location

317 Western Blvd
Jacksonville, NC 28546-6379

Mailing address

317 Western Blvd
Jacksonville, NC 28546-6338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MO, ND3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070803000139 ME Practitioner - General Surgery 8729179825 Reassigns benefits to 2 organizations
I20250121003532 MO Practitioner - General Surgery 8729179825 Reassigns benefits to 1 organization
I20250321003267 ND Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Other (Physician) 8729179825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 5010
Minot, ND 58702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TL 679COMDSurgery Physician
017470MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health CurrentSince Mar 4, 2025 Accepting new patients
Rumford Hospital CurrentSince Jul 25, 2011 Accepting new patients
Trinity Health CurrentSince Mar 4, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Nov 1, 2013 Accepting new patients
Cogent Healthcare of Missouri, Inc Critical Care Medicine CurrentSince Nov 17, 2024 Accepting new patients
Rumford Hospital CurrentSince Jul 25, 2011 Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients
Primecare Physician Associates Surgery Past Accepting new patients
Alternative Wellness Services PastSince Dec 7, 2018 Accepting new patients

Locations

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

15 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7500

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

149 North St
Waterville, ME 04901
Phone (207) 622-1959

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 10

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 6

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1083816094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466379",
            "telephone_number": "910-577-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2026-02620",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NC",
            "license": "2026-02620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.