Bobby Paxton Kearney, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

128928 Issued in NC

Practice address

536 Signal Hill Drive Ext
Statesville, NC 28625-4391

Phone

(704) 872-3772

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

AnesthesiologyAlso: Interventional Pain Management, Pain Management

Education

University of Nevada School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Addiction Recovery Medical Services - Providers

  • Pain Medicine (Anesthesiology) Physician
  • Statesville, NC
  • NPI 1669663175
  Medicare reassignment NPD Authorized official
• Addiction Recovery Medical Services

  • Community/Behavioral Health Agency
  • Statesville, NC
  • NPI 1487887949
  Medicare reassignment NPD
• Anesthesiology of Greenwood PA

  • Anesthesiology Physician
  • Greenwood, SC
  • NPI 1932189081
  NPD (past)
• Shah Anuj MD PC

  • Interventional Cardiology Physician
  • Passaic, NJ
  • NPI 1215445127
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1437172012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 SIGNAL HILL DRIVE EXT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254391",
            "telephone_number": "704-872-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SIGNAL HILL DRIVE EXT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254391",
            "telephone_number": "704-872-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 E Main Ave",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "NC",
            "postal_code": "286812540",
            "country_code": "US",
            "telephone_number": "704-872-0234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Signal Hill Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286254353",
            "country_code": "US",
            "telephone_number": "704-872-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "BOBBY",
        "middle_name": "PAXTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "128928",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "128928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "132YE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "53985",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132YE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Sara Karanikas, OTR/L
• Neil M Kassman, M.D.
• Matthew S Katsamas
• Karen Kauffman, CRNA
• Janice Hope Kay, LPA
• Judy Lackey Keighron, FNP-BC
• Loralin Marie Keller-Soundara, LCSW-A
• David V Keller, PA-C
• Erica Ault Kelly, PA-C
• Brittanie Kendrick

• Anesthesiology Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.