Kent Thomas Anderson, M.D.
Individual provider Active NPI Internal Medicine Physician · Wilson, NC
NPI 1487650669 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1487650669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 27354 (NC)
- Practice address
- 2503 Forest Hills Rd W Ste B
Wilson, NC 27893-3392 - Phone
- (252) 991-0555
- Fax
- (252) 991-0596
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Brody School of Medicine at East Carolina University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DLP Wilson Physician Practices LLC
Wilson Immediate Care PA
Practice addresses (Care Compare)
1700 Tarboro St W
Suite 100
Wilson, NC 27893-3481
Phone (252) 399-5314
1725 Tarboro St SW
Wilson, NC 27893-3428
Phone (336) 237-2891
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041201000253 | NC | Practitioner - Internal Medicine |
1355306671 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Immediate Care, PA | Internal Medicine | Current |
Accepting new patients |
| 24 On Physicians, P.C. | Current |
Accepting new patients | |
| 24 On Physicians, P.C. | Current |
Accepting new patients | |
| DLP Wilson Physician Practices LLC | Internal Medicine | Current |
Accepting new patients |
| DLP Wilson Physician Practices LLC | Current |
Accepting new patients | |
| Colonial Family Practice, LLC | Internal Medicine | Past |
Accepting new patients |
Locations
3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939
155 Nashville Commons Dr
Nashville, NC 27856
Phone (252) 453-7769
10589 E NC Highway 97
Rocky Mount, NC 27803
Phone (252) 243-7161
2503 Forest Hills Rd W
Ste B
Wilson, NC 27893
Phone (252) 991-0555
1725 Tarboro St SW
Wilson, NC 27893
Phone (252) 237-2891
725 Tarboro St SW
Wilson, NC 27893
1701 Medical Park Dr W
Wilson, NC 27893
Phone (252) 399-5302
1700 Tarboro St W
Ste 100
Wilson, NC 27893
Phone (252) 399-5300
2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 27354 | NC | Yes |
Addresses
Primary practice location
2503 Forest Hills Rd W Ste B
Wilson, NC 27893-3392
Mailing address
PO Box 3775
Wilson, NC 27895-3775
Phone (252) 291-1928
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11516 | Other | NC | BC |
| 8911516 | Medicaid | NC | |
| 891154R | Medicaid | NC | |
| P00165585 | Other | RRMC |
Other providers in Wilson, NC
- An & FC Barnes Health Services, Inc.
- Anchor Family Therapy
- Susan H Andersen
- Dudley Buist Anderson
- Holly Nichole Anderson
- Anesthesia Services Associates
- Jane Angell
- Annie'S House of Love
- Jason Paul Annis
- App-Ecp, LLC
All providers in Wilson, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.