Individual provider Active NPI

Kevin Patrick Carmen, M.D.

  • Psychiatry Physician
  • Hickory, NC
National Provider Identifier
1558565358
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0059446 Issued in CO
Practice address
1109 2ND Ave SW
Hickory, NC 28602-2545
Phone
(828) 327-6026
Fax
(828) 327-8796
NPI assigned
Jun 14, 2007
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 35.098114 OH
Emergency Medicine Physician 207P00000X D70363 MD
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 141986 NC
Psychiatry Physician 2084P0800X 35.098114 OH
Psychiatry Physician 2084P0800X TP878 KY
Psychiatry Physician 2084P0800X 0101280536 VA
Psychiatry Physician 2084P0800X DR.0059446 CO Primary

Addresses

Primary practice location

1109 2ND Ave SW
Hickory, NC 28602-2545

Mailing address

1109 2ND Ave SW
Hickory, NC 28602-2545
Phone (828) 327-6026

Other practice location 1

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (513) 853-8520

Other practice location 2

1701 Mercy Health Pl
Cincinnati, OH 45237-6147
Phone (513) 853-8520

Other practice location 3

8580 Magellan Pkwy
Richmond, VA 23227-1149
Phone (513) 853-8520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, CO, KY, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20091022000326 NC Practitioner - Emergency Medicine 9234276353 Reassigns benefits to 1 organization
I20111122000917 OH Practitioner - PsychiatryPractitioner - Emergency Medicine 9234276353 Reassigns benefits to 7 organizations
I20180816002279 CO Practitioner - Emergency MedicinePractitioner - Psychiatry 9234276353 Reassigns benefits to 1 organization
I20231109000560 KY Practitioner - Psychiatry 9234276353 Reassigns benefits to 1 organization
I20240503000693 VA Practitioner - Psychiatry 9234276353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laurelwood Associates IncGroup PAC ID 4789589565, 7 clinicians

Practice addresses (Care Compare)

35900 Euclid Ave
Willoughby, OH 44094-4623
Phone (440) 953-3369

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D70363MDMDEmergency Medicine Physician
141986NCMDAddiction Medicine (Psychiatry & Neurology) Physician
TP878KYMDPsychiatry Physician
35.098114OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Oct 9, 2023 Accepting new patients
Uhs of Denver, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC Psychiatry CurrentSince Nov 9, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Nov 21, 2023 Accepting new patients
Uhs of Denver, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Laurelwood Associates Inc CurrentSince Nov 1, 2025 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Nov 21, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Psychiatry CurrentSince Nov 13, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Psychiatry CurrentSince Nov 21, 2023 Accepting new patients
Sylva Emergency Group LLC Emergency Medicine CurrentSince Dec 9, 2015 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC Psychiatry CurrentSince Oct 9, 2023 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Nov 9, 2023 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC Psychiatry CurrentSince Nov 13, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Psychiatry CurrentSince Nov 21, 2023 Accepting new patients
Ohio Em-I Medical Services, Professional Association Past Accepting new patients
Emergency Services of Central Ohio LLC Emergency Medicine Past Accepting new patients
Erie Banks Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Statland Medical Group LLC PastSince Aug 7, 2019 Accepting new patients
Mercy Health Physicians Kentucky LLC Emergency Medicine Past Accepting new patients

Locations

8565 Poplar Way
Highlands Ranch, CO 80130
Phone (720) 348-2800

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

35900 Euclid Ave
Willoughby, OH 44094
Phone (440) 953-3000

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: kcarmen224467@direct.bsmhealth.org
  • Direct secure messaging: kevin.carmen@hca3.eclinicaldirectplus.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1558565358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 2ND AVE SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022545",
            "telephone_number": "828-327-6026",
            "fax_number": "330-588-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 2ND AVE SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022545",
            "telephone_number": "828-327-6026",
            "fax_number": "828-327-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037901",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Mercy Health Pl",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452376147",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "fax_number": "513-442-7695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8580 Magellan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232271149",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMEN",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-03-06",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.098114",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D70363",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "141986",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.098114",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "TP878",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101280536",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0059446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.