Individual provider Active NPI

Kemuel Ray Carey, MHS PA C ATC

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1316948524
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C03153 Issued in MD
Practice address
1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone
(410) 749-4154
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C03153 MD Primary
Physician Assistant 363A00000X 0097831 NY
Physician Assistant 363A00000X C5-0000676 DE
Athletic Trainer 2255A2300X RT002217A PA
Medical Physician Assistant 363AM0700X MA051996 PA

Addresses

Primary practice location

1675 Woodbrooke Dr
Salisbury, MD 21804-8502

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 749-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051011001005 MD Practitioner - Physician Assistant 3072595115 Reassigns benefits to 2 organizations
I20100730000602 DE Practitioner - Physician Assistant 3072595115 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
RT002217APAMDAthletic Trainer
C5-0000676DEMDPhysician Assistant
C03153MDMDPhysician Assistant
0097831NYMDPhysician Assistant
MA051996PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopaedic Assoc PA CurrentSince Sep 12, 2005 Accepting new patients
Peninsula Orthopaedic Assoc, PA Physician Assistant CurrentSince Sep 12, 2005 Accepting new patients

Locations

30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787

503 Health Services Dr
Seaford, DE 19973

11107 Cathage Rd
Unit 101
Ocean Pines, MD 21811
Phone (410) 641-0202

641 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 341-9002

6503 Deer Pointe Dr
Ste B
Salisbury, MD 21804
Phone (410) 371-9007

1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 701-3327

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1316948524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WOODBROOKE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048502",
            "telephone_number": "410-749-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "KEMUEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "MHS PA C ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03153",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0097831",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000676",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT002217A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.