Individual provider Active NPI

Kendall Reid Zmiewsky, MD

  • Obstetrics & Gynecology Physician
  • Southern Pines, NC
National Provider Identifier
1447438593
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
130221 Issued in NC
Practice address
145 Applecross Road
Southern Pines, NC 28387
Phone
(910) 692-7928
Fax
(910) 692-5962
NPI assigned
Jan 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 130221 NC Primary

Addresses

Primary practice location

145 Applecross Road
Southern Pines, NC 28387

Mailing address

PO Box 749
Southern Pines, NC 28388-0749
Phone (910) 692-7928

Other identifiers 1

IdentifierTypeStateIssuer
5904011MedicaidNC

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
I20061030000405 NC Practitioner - Obstetrics/Gynecology 0941207245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-12 LLCGroup PAC ID 7416198890, 32 clinicians

Practice addresses (Care Compare)

145 Applecross Rd
Pinehurst, NC 28374-8521
Phone (910) 692-7928

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
98.47
Promoting interoperability
81
Improvement activities
40
Cost
88.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130221NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-12, LLC CurrentSince Jul 1, 2013 Accepting new patients
MCPC-12, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2013 Accepting new patients
FHPG, LLC Past Accepting new patients
Southern Pines Women'S Health Center PC Obstetrics & Gynecology PastSince Jul 16, 2010 Accepting new patients

Locations

5 First Village Dr
Ste 100
Pinehurst, NC 28374
Phone (910) 692-7928

313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350

110 Medical Cir
Rockingham, NC 28379
Phone (910) 410-9494

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.

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1447438593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283880749",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS ROAD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-7928",
            "fax_number": "910-692-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMIEWSKY",
        "first_name": "KENDALL",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "130221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904011",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.