Individual provider Active NPI

Mark Edward Kinter, M.D.

  • Family Medicine Physician
  • Canton, NC
National Provider Identifier
1366434557
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9900274 Issued in NC
Practice address
30 N Main St
Canton, NC 28716-3805
Phone
(828) 646-0080
Fax
(828) 627-2216
NPI assigned
Aug 16, 2005
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9900274 NC Primary

Addresses

Primary practice location

30 N Main St
Canton, NC 28716-3805

Mailing address

6750 Carolina Blvd
Clyde, NC 28721-7052
Phone (828) 627-2211

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
I20100316000247 NC Practitioner - Family PracticePractitioner - Internal Medicine 9537162169 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of South Carolina School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midway Medical Center PAGroup PAC ID 0547208860, 8 clinicians

Practice addresses (Care Compare)

6750 Carolina Blvd
Clyde, NC 28721-7052
Phone (828) 627-2211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions41
Removal or shaving of skin growth1-10
Skin biopsy23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of North Carolina PLLC CurrentSince Jul 29, 2017 Accepting new patients
Cogent Healthcare of North Carolina, PC Family Medicine CurrentSince Aug 6, 2017 Accepting new patients
DLP Western Carolina Physician Practices LLC Family Medicine CurrentSince Apr 2, 2022 Accepting new patients
Midway Medical Center, PA Family Medicine Current Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Apr 2, 2022 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

138 N Main St
Canton, NC 28716
Phone (828) 646-0080

55 Buckeye Cove Rd
#200A
Canton, NC 28716
Phone (828) 235-3023

24 Falcon Crest Ln
Clyde, NC 28721
Phone (828) 452-8878

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

6750 Carolina Blvd
Clyde, NC 28721
Phone (828) 627-2211

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1366434557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 CAROLINA BLVD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217052",
            "telephone_number": "828-627-2211",
            "fax_number": "828-627-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MAIN ST",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287163805",
            "telephone_number": "828-646-0080",
            "fax_number": "828-627-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTER",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NC

Sources for this page

Verify at the official NPI Registry.