Individual provider Active NPI

Thomas Preston Kennedy, MD

  • Pulmonary Disease Physician
  • Morganton, NC
National Provider Identifier
1427139211
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
33263 Issued in NC
Practice address
2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone
(828) 580-4577
Fax
(828) 580-4599
NPI assigned
Oct 18, 2006
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101045012 VA
Pulmonary Disease Physician 207RP1001X 0101045012 VA
Pulmonary Disease Physician 207RP1001X 33263 NC Primary

Addresses

Primary practice location

2209 S Sterling St Ste 600
Morganton, NC 28655-4092

Mailing address

2209 S Sterling St Ste 600
Morganton, NC 28655-4092
Phone (828) 580-4577

Other practice location 1

400 Sentara Cir Ste 201A
Williamsburg, VA 23188-5716
Phone (757) 984-3975

Other practice location 2

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-4501

Other identifiers 1

IdentifierTypeStateIssuer
1427139211MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141015002102 LA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4587610217 Reassigns benefits to 1 organization
I20150227001644 NC Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4587610217 Reassigns benefits to 1 organization
I20190228000687 VA Practitioner - Pulmonary Disease 4587610217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Vanderbilt University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

400 Sentara Cir
Suite 320a
Williamsburg, VA 23188-5716
Phone (757) 984-9800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2014 Accepting new patients
Sentara Medical Group Pulmonary Disease CurrentSince Apr 1, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Pulmonary Disease CurrentSince Feb 1, 2015 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2014 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Feb 1, 2015 Accepting new patients

Locations

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8509
New Orleans, LA 70112
Phone (504) 988-7171

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 600
Morganton, NC 28655
Phone (828) 580-4577

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

400 Sentara Cir
Ste 201A
Williamsburg, VA 23188
Phone (757) 827-2127

400 Sentara Cir
Ste 320A
Williamsburg, VA 23188
Phone (757) 395-3975

Interoperability endpoints

  • Direct secure messaging: tkennedy489441@direct.sentara.net

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 5

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1427139211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Sentara Cir Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-984-3975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "THOMAS",
        "middle_name": "PRESTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101045012",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101045012",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "33263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427139211",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.