Individual provider Active NPI

Michael Warren Kilby, M.D.

  • General Practice Physician
  • Mocksville, NC
National Provider Identifier
1164563565
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9801335 Issued in NC
Practice address
223 Hospital St
Mocksville, NC 27028-2038
Phone
(336) 751-8307
Fax
(336) 751-8402
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9801335 NC
Family Medicine Physician 207Q00000X 9801335 NC
General Practice Physician 208D00000X 9801335 NC Primary

Addresses

Primary practice location

223 Hospital St
Mocksville, NC 27028-2038

Mailing address

PO Box 1209
Mocksville, NC 27028-1209
Phone (336) 751-8307

Other identifiers 1

IdentifierTypeStateIssuer
891180QMedicaidNC

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9801335NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartness Medical Center P.C. General Practice PastSince Apr 8, 2009 Accepting new patients
Piedmont Healthcare, P.a. Family Medicine Past Accepting new patients
Davie Medical Center Past Accepting new patients
Wfubmccp Primary Care, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164563565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270281209",
            "telephone_number": "336-751-8307",
            "fax_number": "336-751-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 HOSPITAL ST",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282038",
            "telephone_number": "336-751-8307",
            "fax_number": "336-751-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBY",
        "first_name": "MICHAEL",
        "middle_name": "WARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9801335",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9801335",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "9801335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891180Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mocksville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.