Kenly Medical Associates, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KENLY MEDICAL ASSOCIATES, PA

Practice address

101 East Second Street
Kenly, NC 27542-0275

Phone

(919) 284-4025

Fax

(919) 284-5965

NPI assigned

Aug 28, 2006

Last updated

May 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hal B Woodall, MDNPI 1235179128

Title

Owner

Phone

(919) 284-4025

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hal B Woodall, MD

  • Internal Medicine Physician
  • Kenly, NC
  • NPI 1235179128
  Medicare reassignment Care Compare group NPD Authorized official
• Devyn Alaisea-Rookh Litsey

  • Family Nurse Practitioner
  • Kenly, NC
  • NPI 1245079268
  Medicare reassignment Care Compare group NPD
• Amanda Cannon

  • Adult Health Clinical Nurse Specialist
  • Kenly, NC
  • NPI 1245632157
  Medicare reassignment NPD
• Mary-Joyce Beasley Gibson, NP

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1245668938
  Medicare reassignment NPD
• Margaret S Hinnant

  • Family Nurse Practitioner
  • Kenly, NC
  • NPI 1841775707
  Medicare reassignment NPD
• Sarah Katlyn Short

  • Family Nurse Practitioner
  • Kenly, NC
  • NPI 1558258475
  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1518075712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 2ND STREET",
            "city": "KENLY",
            "state": "NC",
            "postal_code": "275420275",
            "telephone_number": "919-284-4025",
            "fax_number": "919-284-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST SECOND STREET",
            "city": "KENLY",
            "state": "NC",
            "postal_code": "275420275",
            "telephone_number": "919-284-4025",
            "fax_number": "919-284-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENLY MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-284-4025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890155K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0155K",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jabez Residential Inc
• Johnston Memorial Hospital (Johnston Family Care Center)
• Johnston Memorial Hospital Authority (Johnston Family Care Center-Kenly)
• Kenly Drug & Pharmacy Inc
• Kenly Drug & Pharmacy, Inc.
• Rebecca M Lancaster, P.A.
• Yanya Lancaster
• Devyn Alaisea-Rookh Litsey
• Kristin Marie Menkes, PA-C
• Lisa Carol Narron, FNP-C

• Internal Medicine Physician in Kenly, NC
• Providers in Kenly, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.