Individual provider Active NPI

Kimberly Nicole Pilkenton, P.A-C

  • Physician Assistant
  • Norton, VA
National Provider Identifier
1437469749
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003669 Issued in VA
Practice address
100 15TH St
Norton, VA 24273
Phone
(276) 439-1100
NPI assigned
Oct 20, 2010
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003669 VA Primary

Addresses

Primary practice location

100 15TH St
Norton, VA 24273

Mailing address

100 15TH Street
Norton, VA 24273
Phone (276) 439-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20111028000692 VA Practitioner - Physician Assistant 3971776428 Reassigns benefits to 1 organization
I20170523001288 TN Practitioner - Physician Assistant 3971776428 Reassigns benefits to 1 organization
I20210510001620 NC Practitioner - Physician Assistant 3971776428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-8 LLCGroup PAC ID 3870740012, 47 clinicians

Practice addresses (Care Compare)

103 Marketplace Dr
Suite 101
Sanford, NC 27332-7905
Phone (919) 897-2250

1602 Westover Dr
Sanford, NC 27330-7026
Phone (919) 897-2250

2919 Beechtree Dr
Sanford, NC 27330-6934
Phone (919) 897-2260

7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110003669VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Jun 14, 2021 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
MCPC-8, LLC CurrentSince Jun 14, 2021 Accepting new patients
Appalachian Emergency Physicians CurrentSince Nov 1, 2011 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Organizations & group practices 8

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 4

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1437469749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 15TH STREET",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "24273",
            "telephone_number": "276-439-1000",
            "fax_number": "276-439-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 15TH ST",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "24273",
            "telephone_number": "276-439-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILKENTON",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.