NPIMap

Individual provider Active NPI

Kirsten Kerr, M.D.

  • Family Medicine Physician
  • Granite Falls, NC
National Provider Identifier
1184603896
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
One Trade Street
Granite Falls, NC 28630
Phone
(828) 396-3136
Fax
(828) 396-3105
NPI assigned
Jan 11, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NC
Family Medicine Physician 207Q00000X NC Primary

Addresses

Primary practice location

One Trade Street
Granite Falls, NC 28630

Mailing address

PO Box 249
Conover, NC 28613-0249
Phone (828) 465-9730

Other identifiers 3

IdentifierTypeStateIssuer
P00339089OtherNCRAILROAD MEDICARE
89129POMedicaidNC
CN8132OtherNCMEDICARE RAILROAD

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
I20050401000588 NC Practitioner - Family Practice 1557318581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1771 Tate Blvd SE
Suite 103
Hickory, NC 28602-4250
Phone (828) 322-1128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200100390NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jun 15, 2025 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jun 1, 2012 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cornerstone Health Care, LLC Family Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

1 Trade St
Granite Falls, NC 28630
Phone (828) 396-3136

1771 Tate Blvd SE
Ste 103
Hickory, NC 28602
Phone (828) 322-1128

2359 Springs Rd NE
Hickory, NC 28601
Phone (828) 210-2803

24 2nd Ave NE
Hickory, NC 28601
Phone (828) 324-9900

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: kkerr2754759@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184603896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286130249",
            "telephone_number": "828-465-9730",
            "fax_number": "828-465-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE TRADE STREET",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "28630",
            "telephone_number": "828-396-3136",
            "fax_number": "828-396-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "KIRSTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00339089",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129PO",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, NC

Sources for this page

Verify at the official NPI Registry.