Individual provider Active NPI

Megan Kimball, M.D.

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1437418613
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2959 Issued in KY
Practice address
3208 Pebble Lake Dr
Lexington, KY 40515-1019
Phone
(828) 768-8124
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R2959 KY Primary

Addresses

Primary practice location

3208 Pebble Lake Dr
Lexington, KY 40515-1019

Mailing address

321 Mulberry St SW
Lenoir, NC 28645-5720

Other practice location 1

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5504

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkimball307946@direct.UNC.nchie.net Direct

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
I20160819001683 NC Practitioner - Family Practice 6002036498 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2959KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Aug 2, 2017 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Oct 4, 2023 Accepting new patients
Caldwell Memorial Hospital Inc CurrentSince Aug 2, 2017 Accepting new patients

Locations

30 13th Ave NW
Hickory, NC 28601
Phone (828) 324-0100

1031 Morganton Blvd SW
Ste B
Lenoir, NC 28645
Phone (828) 757-6200

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Organizations & group practices 4

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1437418613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 PEBBLE LAKE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151019",
            "telephone_number": "828-768-8124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Mulberry St SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "28645",
            "country_code": "US",
            "telephone_number": "828-757-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "MEGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkimball307946@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.