Individual provider Active NPI

Kimberly Myrick Barnwell

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1215793237
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BARN-FSY1E Issued in NC
Practice address
350 N Cox St
Asheboro, NC 27203-5566
Phone
(336) 629-2201
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BARN-FSY1E NC Primary

Addresses

Primary practice location

350 N Cox St
Asheboro, NC 27203-5566

Mailing address

1725 Trosper Rd
Greensboro, NC 27455-1215
Phone (133) 420-1522

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417002625 NC Practitioner - Nurse Practitioner 5991144339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BARN-FSY1ENCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Primary Care, PA CurrentSince Apr 1, 2024 Accepting new patients

Locations

350 N Cox St
Ste 6
Asheboro, NC 27203
Phone (336) 629-2201

700 S Holden Rd
Greensboro, NC 27407
Phone (336) 299-0031

Organizations & group practices 1

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": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1215793237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 TROSPER RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551215",
            "telephone_number": "133-420-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035566",
            "telephone_number": "336-629-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNWELL",
        "first_name": "KIMBERLY",
        "middle_name": "MYRICK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "BARN-FSY1E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.