Kevin David Price, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2007-01857 Issued in NC

Practice address

512 Village Rd Ste 205
Shallotte, NC 28470-3409

Phone

(910) 754-4441

Fax

(910) 754-5307

NPI assigned

May 31, 2006

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

Philadelphia College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Home Care Home health agency, Supply, NC, CCN 347247
• Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
• Assistedcare Home Health Inc Home health agency, Leland, NC, CCN 347224
• Centerwell Home Health Home health agency, Delco, NC, CCN 347084
• Adoration Home Health Home health agency, Elizabethtown, NC, CCN 347097
• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kprice16766@direct.novanthealth.org

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.

• Novant Health Medical Group, LLC

  dba Novant Health Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Oceanside Family Medicine

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1609528215
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Oceanside Family Medicine & Convenient Care

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1710051123
  NPD
• Novant Medical Group, Inc

  dba Novant Health Rehabilitation Center

  • Physical Therapist
  • Huntersville, NC
  • NPI 1679022131
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Northlake Dermatology

  • Dermatopathology Physician
  • Huntersville, NC
  • NPI 1396751640
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adoration Home Health Care Virginia LLC

  dba Adoration Home Health

  • Home Health Agency
  • Elizabethtown, NC
  • NPI 1699213538
  Care Compare affiliation
• Amedisys North Carolina, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Leland, NC
  • NPI 1770686586
  Care Compare affiliation
• Brunswick Community Hospital, LLC

  dba Novant Health Brunswick Medical Center

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation
• Kah Development 14, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Delco, NC
  • NPI 1891236477
  Care Compare affiliation
• Liberty Healthcare Group, LLC

  dba Liberty Home Care, LLC

  • Home Health Agency
  • Supply, NC
  • NPI 1518912898
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Well Care Home Health, Inc

  • Home Health Agency
  • Wilmington, NC
  • NPI 1760470660
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1295772341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "910-754-4441",
            "fax_number": "910-754-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VILLAGE RD STE 205",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703409",
            "telephone_number": "910-754-4441",
            "fax_number": "910-754-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 Sellers Rd",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284703405",
            "country_code": "US",
            "telephone_number": "910-754-4441",
            "fax_number": "910-754-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Village Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284703420",
            "country_code": "US",
            "telephone_number": "910-754-4441",
            "fax_number": "910-754-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO00608",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "223240",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q57009",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908618",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kprice16766@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5145 Sellers Rd",
            "city": "Shallotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284703405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phelps Family Practice, PLLC
• Danny C Phipps, DOCTOR OF MINISTRY
• Frank R Pinto, P.T.
• Robert Todd Pitts, NP
• Precision Audiology PLLC
• Sheila Joyce Priestly, P.T.
• Clark E Pritts, DO
• Megan Pruett
• Whitney Boni Pruitt, AGNP
• Ian Ques, DPT

• Internal Medicine Physician in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
• 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.

Verify at the official NPI Registry.