NPIMap

Individual provider Active NPI

Terry Wayne Kersey Jr., M.D.

  • Cardiovascular Disease Physician
  • Rutherfordton, NC
National Provider Identifier
1093879074
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
200100055 Issued in NC
Practice address
128 Dr Henry Norris Dr
Rutherfordton, NC 28139-3165
Phone
(828) 288-3988
Fax
(828) 286-9575
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200100055 NC
Cardiovascular Disease Physician 207RC0000X 200100055 NC Primary

Addresses

Primary practice location

128 Dr Henry Norris Dr
Rutherfordton, NC 28139-3165

Mailing address

PO Box 602381
Charlotte, NC 28260-2381
Phone (828) 288-3988

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address terrykerseymd@Direct.msj.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000667 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072555929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Brody School of Medicine at East Carolina University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MH Mission Hospital McDowell, LLLPGroup PAC ID 0345581856, 42 clinicians
Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Practice addresses (Care Compare)

472 Rankin Dr
Marion, NC 28752-6568
Phone (828) 652-6326

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

Hospital & facility affiliations

  • The McDowell Hospital Hospital, Marion, NC, CCN 340087
  • Rutherford Regional Medical Center Hospital, Rutherfordton, NC, CCN 340013
  • Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Advent Health Polk Hospital, Columbus, NC, CCN 341322

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051488GAMDInternal Medicine Physician
200100055NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
MH Mission Hospital McDowell, LLLP CurrentSince Sep 15, 2020 Accepting new patients
MH Mission Hospital McDowell, LLLP CurrentSince Sep 15, 2020 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

5 Vanderbilt Park Dr
Asheville, NC 28803

89 Medical Park Dr
Ste C
Brevard, NC 28712
Phone (828) 883-2131

691 Blythe Street Ct
Hendersonville, NC 28739
Phone (828) 213-9090

209 Hospital Dr
Highlands, NC 28741
Phone (828) 482-6160

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

472 Rankin Dr
Marion, NC 28752
Phone (828) 652-1400

339 Nebo School Rd
Nebo, NC 28761
Phone (828) 652-6326

290 N Main St
Rutherfordton, NC 28139
Phone (828) 286-2376

128 Dr Henry Norris Dr
Rutherfordton, NC 28139
Phone (828) 286-3479

189 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 682-0200

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: terrykerseymd@direct.msj.org

Organizations & group practices 6

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1093879074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602381",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602381",
            "telephone_number": "828-288-3988",
            "fax_number": "828-286-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 DR HENRY NORRIS DR",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393165",
            "telephone_number": "828-288-3988",
            "fax_number": "828-286-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSEY",
        "first_name": "TERRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200100055",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200100055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terrykerseymd@Direct.msj.org",
            "affiliation": "N",
            "address_1": "128 Dr Henry Norris Dr",
            "city": "Rutherfordton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281393165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

Verify at the official NPI Registry.