Active NPI
Edward A Kepp, MD
- Internal Medicine Physician
- Albemarle, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9400873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8947986 | Medicaid | NC | |
| 14074 | Other | NC | BCBS |
| 47986 | Other | NC | BCBS 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
Enrollment records 1
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
- Atrium Healt at Home Stanly
- Tillery Compassionate Care
- Stanly Regional Medical Center
- Carolinas Medical Center-Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-00873 | NC | MD | Family Medicine Physician |
| 9400873 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revelstone Family Practice | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Albemarle, NC
- NPI 1790143436
-
- Internal Medicine Physician
- Albemarle, NC
- NPI 1942266721
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
-
- Home Health Agency
- Albemarle, NC
- NPI 1417320318
-
- Home Health Agency
- Kannapolis, NC
- NPI 1720010010
-
- Community Based Hospice Care Agency
- Albemarle, NC
- NPI 1316934235
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.