Organization Active NPI

Kerr Area Rural Medical Alliance PLLC

  • Family Medicine Physician
  • Henderson, NC
National Provider Identifier
1558975433
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KERR AREA RURAL MEDICAL ALLIANCE PLLC
Practice address
425B S Chestnut St
Henderson, NC 27536-4201
Phone
(252) 598-1059
Fax
(252) 598-0779
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Anita E Rogers, PA-CNPI 1003055575
Title
Owner/Provider
Phone
(252) 598-1059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

425B S Chestnut St
Henderson, NC 27536-4201

Mailing address

425 S Chestnut St Ste B
Henderson, NC 27536-4201
Phone (252) 598-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214001716 NC Part B Supplier - Clinic/Group Practice 9234541392 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NC

National Provider Directory

National Provider Directory

Locations

425 S Chestnut St
Ste B
Henderson, NC 27536

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJDGCD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1558975433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S CHESTNUT ST STE B",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364201",
            "telephone_number": "252-598-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425B S CHESTNUT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364201",
            "telephone_number": "252-598-1059",
            "fax_number": "252-598-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR AREA RURAL MEDICAL ALLIANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "252-598-1059",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.