Active NPI
Melvin G Kimble
- Driver
- Elizabeth Cty, NC
National Provider Identifier
1417620345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 42700532
- Practice address
- 120 Zack Cir
Elizabeth Cty, NC 27909-9617 - Phone
- (252) 207-1166
- NPI assigned
- Jul 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 42700532 | Primary |
Addresses
Primary practice location
120 Zack Cir
Elizabeth Cty, NC 27909-9617
Mailing address
120 Zack Cir
Elizabeth City, NC 27909-9617
Phone (252) 207-1166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Express Transportation LLC | Current | 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.
-
- Non-emergency Medical Transport (VAN)
- Elizabeth City, NC
- NPI 1356091573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1417620345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ZACK CIR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279099617",
"telephone_number": "252-207-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ZACK CIR",
"city": "ELIZABETH CTY",
"state": "NC",
"postal_code": "279099617",
"telephone_number": "252-207-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLE",
"first_name": "MELVIN",
"middle_name": "G",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-27",
"last_updated": "2022-03-30",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": "42700532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth Cty, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.