Individual provider Active NPI

Kia Sewell-Chance, M.D.

  • Internal Medicine Physician
  • Kinston, NC
National Provider Identifier
1407049620
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010-00778 Issued in NC
Practice address
2415 W Vernon Ave
Kinston, NC 28504-3337
Phone
(252) 208-4000
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010-00778 NC Primary
Pediatrics Physician 208000000X 2010-00778 NC

Addresses

Primary practice location

2415 W Vernon Ave
Kinston, NC 28504-3337

Mailing address

2415 W Vernon Ave
Kinston, NC 28504-3337
Phone (252) 208-4000

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
I20160218001572 NC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3173647021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00778NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caswell Developmental Center Past Accepting new patients

Organizations & group practices 1

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1407049620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043337",
            "telephone_number": "252-208-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043337",
            "telephone_number": "252-208-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL-CHANCE",
        "first_name": "KIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00778",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-00778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.