Individual provider Active NPI

Kenneth Neal Hawker Jr., FNP

  • Family Nurse Practitioner
  • Martinsville, VA
National Provider Identifier
1356958565
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179848 Issued in VA
Practice address
1044 E Church St
Martinsville, VA 24112-3232
Phone
(276) 634-0010
NPI assigned
Sep 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179848 VA Primary

Addresses

Primary practice location

1044 E Church St
Martinsville, VA 24112-3232

Mailing address

136 Capri CT
Danville, VA 24541-5116
Phone (434) 334-2706

Other practice location 1

625 Piney Forest Rd Ste 303C
Danville, VA 24540-2869
Phone (434) 709-1547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210210001099 VA Practitioner - Nurse Practitioner 5890100598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martinsville Urgent Care LLCGroup PAC ID 9436254133, 6 clinicians

Practice addresses (Care Compare)

1044 E Church St
Martinsville, VA 24112-3232
Phone (276) 634-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River City Health & Wellness PLLC CurrentSince Oct 4, 2020 Accepting new patients
Martinsville Primary Care LLC PastSince Dec 19, 2021 Accepting new patients

Locations

625 Piney Forest Rd
Ste 303C
Danville, VA 24540
Phone (434) 709-1547

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1356958565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CAPRI CT",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245415116",
            "telephone_number": "434-334-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 E CHURCH ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241123232",
            "telephone_number": "276-634-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Piney Forest Rd Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245402869",
            "country_code": "US",
            "telephone_number": "434-709-1547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKER",
        "first_name": "KENNETH",
        "middle_name": "NEAL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.