Organization Active NPI

Rapha Wound Care PLLC

  • Internal Medicine Physician
  • Kernersville, NC
National Provider Identifier
1386483717
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAPHA WOUND CARE PLLC
Practice address
935 E Mountain St Ste M
Kernersville, NC 27284-3238
Phone
(336) 663-3822
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Terra Kamp, NPNPI 1083079701
Title
Owner/Member Manager
Phone
(336) 663-3822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

935 E Mountain St Ste M
Kernersville, NC 27284-3238

Mailing address

935 E Mountain St Ste M
Kernersville, NC 27284-3238
Phone (336) 663-3822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250311003498 NC Part B Supplier - Clinic/Group Practice 9032630694 Receives reassigned benefits from 3 practitioners
Practice locations: Kernersville, NC

National Provider Directory

National Provider Directory

Locations

935 E Mountain St
Ste M
Kernersville, NC 27284
Phone (336) 310-4712

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1386483717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E MOUNTAIN ST STE M",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843238",
            "telephone_number": "336-663-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E MOUNTAIN ST STE M",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843238",
            "telephone_number": "336-663-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "KAMP",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "OWNER/MEMBER MANAGER",
        "authorized_official_telephone_number": "336-663-3822",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.