Active NPI
Jeffery Justin Kern, PA-C
- Medical Physician Assistant
- Rockingham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 103521
- Practice address
- 104 Physicians Park Dr
Rockingham, NC 28379-5204 - Phone
- (910) 895-1989
- Fax
- (910) 895-9666
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103521 | NC | Primary |
Addresses
Primary practice location
104 Physicians Park Dr
Rockingham, NC 28379-5204
Mailing address
PO Box 843013
Boston, MA 02284-3013
Phone (910) 895-1989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103521 | Other | NC | STATE LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Physicians Park Dr
Rockingham, NC 28379-5204
Phone (910) 895-1989
7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 79.14
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 80.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103521 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-8, LLC | Family Medicine | Current | Accepting new patients |
| MCPC-8, LLC | Family Medicine | Current | Accepting new patients |
| FHPG, LLC | Family Medicine | Current | Accepting new patients |
| FHPG, LLC | Family Medicine | Current | Accepting new patients |
Locations
208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040
1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100
150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100
313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250
7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100
Interoperability endpoints
- jkern17419@firsthealth.direct-ci.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
- Family Medicine Physician
- Raeford, NC
- NPI 1114351095
-
- Family Medicine Physician
- Sanford, NC
- NPI 1922552322
-
- Family Medicine Physician
- Carthage, NC
- NPI 1770335440
-
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1033885249
-
- Family Medicine Physician
- Southern Pines, NC
- NPI 1740889864
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1194713701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843013",
"city": "BOSTON",
"state": "MA",
"postal_code": "022843013",
"telephone_number": "910-895-1989",
"fax_number": "910-895-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 PHYSICIANS PARK DR",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283795204",
"telephone_number": "910-895-1989",
"fax_number": "910-895-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "JEFFERY",
"middle_name": "JUSTIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "103521",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockingham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.