Individual provider Active NPI

Kimberly Betts Sigman, MD

  • Pediatrics Physician
  • Holly Springs, NC
National Provider Identifier
1548790017
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2020-00803 Issued in NC
Practice address
401 Irving Pkwy Ste 230
Holly Springs, NC 27540-5301
Phone
(919) 385-8850
NPI assigned
Jun 15, 2017
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X LP04104 RI
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 2020-00803 NC Primary

Addresses

Primary practice location

401 Irving Pkwy Ste 230
Holly Springs, NC 27540-5301

Mailing address

401 Irving Pkwy Ste 230
Holly Springs, NC 27540-5301
Phone (919) 385-8850

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
I20201016000015 NC Practitioner - Pediatric Medicine 8224307913 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00803NCMDPediatrics Physician
LP04104RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 12, 2020 Accepting new patients
Duke University Affiliated Physicians, Inc. Single Specialty Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 12, 2020 Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

401 Irving Pkwy
Ste 130
Holly Springs, NC 27540
Phone (919) 385-5060

401 Irving Pkwy
Ste 230
Holly Springs, NC 27540
Phone (919) 385-8850

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: kbetts470408@direct.medicine.duke.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1548790017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 IRVING PKWY STE 230",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405301",
            "telephone_number": "919-385-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 IRVING PKWY STE 230",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275405301",
            "telephone_number": "919-385-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMAN",
        "first_name": "KIMBERLY",
        "middle_name": "BETTS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "LP04104",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2020-00803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.