Individual provider Active NPI

Rebecca Keener McKinnon, M.D.

  • Family Medicine Physician
  • Yadkinville, NC
National Provider Identifier
1548587983
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-01737 Issued in NC
Practice address
305 E Lee Ave
Yadkinville, NC 27055-8132
Phone
(336) 679-2661
Fax
(336) 679-7056
NPI assigned
Apr 26, 2010
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 2013-01737 NC Primary

Addresses

Primary practice location

305 E Lee Ave
Yadkinville, NC 27055-8132

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 983-4346

Other practice location 1

216 Moore Rd
King, NC 27021-8703
Phone (336) 983-4346

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
I20140410000580 NC Practitioner - Family Practice 3971735705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone (336) 716-2255

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Nov 20, 2017 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jul 1, 2020 Accepting new patients
Wake Forest Health Network LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients

Locations

2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

5826 Samet Dr
Ste 101
High Point, NC 27265
Phone (336) 878-6540

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: rmckinnon2754011@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: rmckinnon98495@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1548587983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-983-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "telephone_number": "336-679-2661",
            "fax_number": "336-679-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Moore Rd",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270218703",
            "country_code": "US",
            "telephone_number": "336-983-4346",
            "fax_number": "336-985-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "REBECCA",
        "middle_name": "KEENER",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-01737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yadkinville, NC

Sources for this page

Verify at the official NPI Registry.