Individual provider Active NPI

Edward A Kepp, MD

  • Internal Medicine Physician
  • Albemarle, NC
National Provider Identifier
1194785899
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9400873 Issued in NC
Practice address
232 Concord Rd
Albemarle, NC 28001-4612
Phone
(704) 986-3900
Fax
(704) 986-3913
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-00873 NC
Internal Medicine Physician 207R00000X 9400873 NC Primary

Addresses

Primary practice location

232 Concord Rd
Albemarle, NC 28001-4612

Mailing address

232 Concord Rd
Albemarle, NC 28001-4612
Phone (704) 986-3900

Other identifiers 3

IdentifierTypeStateIssuer
8947986MedicaidNC
14074OtherNCBCBS
47986OtherNCBCBS OF NC

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
I20051118000445 NC Practitioner - Family Practice 4789631979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

232 Concord Rd
Albemarle, NC 28001-4612
Phone (704) 986-3900

Hospital & facility affiliations

  • Gentiva Health Services/Salisb Home health agency, Kannapolis, NC, CCN 347170
  • Atrium Healt at Home Stanly Home health agency, Albemarle, NC, CCN 347113
  • Tillery Compassionate Care Hospice, Albemarle, NC, CCN 341542
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-00873NCMDFamily Medicine Physician
9400873NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revelstone Family Practice Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Primedoc of Stanly County PA Internal Medicine Past Accepting new patients

Locations

319 Yadkin St
Albemarle, NC 28001
Phone (704) 983-3681

232 Concord Rd
Albemarle, NC 28001
Phone (704) 986-3900

Interoperability endpoints

  • Direct secure messaging: edward.kepp.1@26155.direct.athenahealth.com

Organizations & group practices 2

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 7

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1194785899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CONCORD RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014612",
            "telephone_number": "704-986-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CONCORD RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280014612",
            "telephone_number": "704-986-3900",
            "fax_number": "704-986-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPP",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "94-00873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947986",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14074",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "47986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

Verify at the official NPI Registry.