Individual provider Active NPI

Kenneth Ray Draughn

  • Non-emergency Medical Transport (VAN)
  • Rocky Mount, NC
National Provider Identifier
1124501911
Registry record updated Sep 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
3238814 Issued in NC
Practice address
3458 Buffaloe Ridge CT
Rocky Mount, NC 27804-0040
Phone
(252) 314-6284
NPI assigned
Sep 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 3238814 NC Primary

Addresses

Primary practice location

3458 Buffaloe Ridge CT
Rocky Mount, NC 27804-0040

Mailing address

3458 Buffaloe Ridge CT
Rocky Mount, NC 27804-0040
Phone (252) 314-6284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3238814NCMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1124501911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 BUFFALOE RIDGE CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040040",
            "telephone_number": "252-314-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 BUFFALOE RIDGE CT",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040040",
            "telephone_number": "252-314-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAUGHN",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "3238814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.