Individual provider Active NPI

James Eugene Kendall Jr., MD

  • Obstetrics & Gynecology Physician
  • Tarboro, NC
National Provider Identifier
1144205287
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9500968 Issued in NC
Practice address
2704 N Main St
Tarboro, NC 27886-1918
Phone
(252) 823-6333
Fax
(252) 823-1406
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9500968 NC Primary

Addresses

Primary practice location

2704 N Main St
Tarboro, NC 27886-1918

Mailing address

PO Box 1257
Tarboro, NC 27886-1257
Phone (252) 823-6333

Other practice location 1

2400 Wayne Memorial Dr Ste I
Goldsboro, NC 27534-1749
Phone (919) 587-3980

Other identifiers 5

IdentifierTypeStateIssuer
2215574AOtherNCMEDICARE PTAN, INDIVIDUAL
0752276OtherNCUNITED HEALTH CARE
64694OtherNCMEDCOST
48374OtherNCBLUE CROSS BLUE SHIELD
8948374MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkendall207369@direct.UNC.nchie.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100206000089 NC Practitioner - Obstetrics/Gynecology 8921141359 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2400 Wayne Memorial Dr
Suite I
Goldsboro, NC 27534-1749
Phone (919) 739-9060

2704 N Main St
Tarboro, NC 27886-1918
Phone (252) 823-6333

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9500968NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Aug 23, 2011 Accepting new patients
Williamston Clinic Corp Obstetrics & Gynecology CurrentSince Dec 14, 2014 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Tarboro Women'S Center PA Obstetrics & Gynecology Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2400 Wayne Memorial Dr
Ste I
Goldsboro, NC 27534
Phone (919) 587-3980

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

701 Doctors Dr
Ste E1
Kinston, NC 28501
Phone (252) 775-5930

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4810 S Croatan Hwy
Ste 250
Nags Head, NC 27959
Phone (252) 261-4885

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

2704 N Main St
Tarboro, NC 27886
Phone (252) 823-6333

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

Interoperability endpoints

  • Direct secure messaging: jkendall207369@direct.unc.nchie.net
  • Direct secure messaging: jkendall13260@direct.ecuhealth.com

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 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1144205287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1257",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861257",
            "telephone_number": "252-823-6333",
            "fax_number": "252-823-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N MAIN ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278861918",
            "telephone_number": "252-823-6333",
            "fax_number": "252-823-1406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wayne Memorial Dr Ste I",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275341749",
            "country_code": "US",
            "telephone_number": "919-587-3980",
            "fax_number": "919-587-3981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "JAMES",
        "middle_name": "EUGENE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9500968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL",
            "identifier": "2215574A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0752276",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "64694",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48374",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948374",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkendall207369@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2400 Wayne Memorial Dr Ste I",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275341749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.