Individual provider Active NPI

Keri Ann Fitzsimmons, MD

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1326069105
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2006-00874 Issued in NC
Practice address
7750 McCrimmon Pkwy Ste 100
Cary, NC 27519-1912
Phone
(919) 234-1577
Fax
(888) 355-8929
NPI assigned
Jul 21, 2006
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2006-00874 NC Primary

Addresses

Primary practice location

7750 McCrimmon Pkwy Ste 100
Cary, NC 27519-1912

Mailing address

7750 McCrimmon Pkwy Ste 100
Cary, NC 27519-1912
Phone (919) 234-1577

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906000543 NC Practitioner - Pediatric Medicine 4688675002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-00874NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Aug 1, 2025 Accepting new patients
Raleigh Durham Medical Group PA Pediatrics CurrentSince Aug 1, 2025 Accepting new patients
Village Pediatrics of Chapel Hill, PA Pediatrics Past Accepting new patients

Locations

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

6402 McCrimmon Pkwy
Ste 100
Morrisville, NC 27560
Phone (919) 655-1000

Interoperability endpoints

  • Direct secure messaging: keri.fitzsimmons@mccrimmon.eclinicaldirectplus.com

Organizations & group practices 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1326069105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 MCCRIMMON PKWY STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191912",
            "telephone_number": "919-234-1577",
            "fax_number": "888-355-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 MCCRIMMON PKWY STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191912",
            "telephone_number": "919-234-1577",
            "fax_number": "888-355-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "KERI",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2006-00874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.