Kirkland McKinney Dickey, DNP
Individual provider Active NPI Nurse Practitioner · Pine Hall, NC
NPI 1114589884 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1114589884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5011957 (NC)
- Practice address
- 3853 US 311 Hwy N
Pine Hall, NC 27042-8184 - Phone
- (336) 427-3076
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifebrite Hospital Group of Stokes LLC
Practice addresses (Care Compare)
3853 US 311 Hwy N
Pine Hall, NC 27042-8184
Phone (336) 427-3076
Hospital & facility affiliations
- Lifebrite Community Hospital of Stokes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190927001293 | NC | Practitioner - Nurse Practitioner | 0446580831 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011957 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebrite Hospital Group of Stokes, LLC | Current |
Accepting new patients | |
| Lifebrite Hospital Group of Stokes, LLC | Current |
Accepting new patients | |
| Lifebrite Hospital Group of Stokes, LLC | Current |
Accepting new patients | |
| Lifebrite Hospital Group of Stokes, LLC | Past | Accepting new patients | |
| Lifebrite Hospital Group of Stokes, LLC | Past | Accepting new patients |
Locations
1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831
3853 US 311 Hwy N
Pine Hall, NC 27042
Phone (336) 427-3076
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 5011957 | NC | |
| Nurse Practitioner | 363L00000X | 5011957 | NC | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | 5011957 | NC |
Addresses
Primary practice location
3853 US 311 Hwy N
Pine Hall, NC 27042-8184
Mailing address
PO Box 10
Danbury, NC 27016-7360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5011957 | Other | ND | STATE LICENSE NUMBER |
Other providers in Pine Hall, NC
- Lifebrite Hospital Group of Stokes, LLC
- Novant Health Stokes Medical Center, LLC
- Novant Health Stokes Medical Center, LLC
- James Bailey Sanford
All providers in Pine Hall, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.