Active NPI
Kerry Dalton
- Physician Assistant
- Old Fort, NC
National Provider Identifier
1245914274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 32 E Main St
Old Fort, NC 28762-0017 - Phone
- (828) 668-6435
- Fax
- (833) 913-2496
- NPI assigned
- Jun 12, 2023
- Last updated
- Apr 17, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
32 E Main St
Old Fort, NC 28762-0017
Mailing address
32 E Main St
Old Fort, NC 28762-0017
Phone (828) 668-6435
Other practice location 1
3820 Sweeten Creek Rd
Arden, NC 28704-3136
Phone (704) 467-1246
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kerry.dalton.1@23581.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Old Fort, NC
- NPI 1922601764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1245914274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 E MAIN ST",
"city": "OLD FORT",
"state": "NC",
"postal_code": "287620017",
"telephone_number": "828-668-6435",
"fax_number": "833-913-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 E MAIN ST",
"city": "OLD FORT",
"state": "NC",
"postal_code": "287620017",
"telephone_number": "828-668-6435",
"fax_number": "833-913-2496"
}
],
"practiceLocations": [
{
"address_1": "3820 Sweeten Creek Rd",
"address_purpose": "LOCATION",
"city": "Arden",
"state": "NC",
"postal_code": "287043136",
"country_code": "US",
"telephone_number": "704-467-1246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DALTON",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Fort, NC
- Carolina Supportive Living LLC
- Carolina Supportive Living LLC
- Sean M Carter, RBT
- Katherine Alice Cennamo, LCSW
- Shawn Kudrik Costanzo, RN
- Eagle Chiropractic Family Wellness Center P a
- Jeanette Moore Furan, L.P.C.
- Jared Douglas Gouge
- Growing Together OT, PLLC
- H and W Services Inc (Family Pharmacy of Old Fort)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.