Individual provider Active NPI

Kevin P Howard, M.D.

  • Family Medicine Physician
  • Eden, NC
National Provider Identifier
1588666705
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28874 Issued in NC
Practice address
925 Oak Ridge Dr
Eden, NC 27288-5370
Phone
(336) 932-5102
NPI assigned
Jun 1, 2005
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 28874 NC Primary

Addresses

Primary practice location

925 Oak Ridge Dr
Eden, NC 27288-5370

Mailing address

925 Oak Ridge Dr
Eden, NC 27288-5370
Phone (336) 932-5102

Other practice location 1

371 Nc Highway 65 Ste 204
Reidsville, NC 27320-8881
Phone (336) 932-5102

Other practice location 2

371 NC Highway 65
Wentworth, NC 27375
Phone (336) 932-5102

Other identifiers 1

IdentifierTypeStateIssuer
8944171MedicaidNC

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
I20080304000616 NC Practitioner - Family PracticePractitioner - Internal Medicine 3173566064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

371 NC Hwy 65
Suite 204
Reidsville, NC 27320-8881
Phone (336) 342-8145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28874NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Hospitalists, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kevin.howard.1@31785.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unc Rockingham Rehabilitation & Nursing Care CenterEden, NC, CCN 345249 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Nov 1, 2023
Jan 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1588666705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 OAK RIDGE DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885370",
            "telephone_number": "336-932-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 OAK RIDGE DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885370",
            "telephone_number": "336-932-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 Nc Highway 65 Ste 204",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273208881",
            "country_code": "US",
            "telephone_number": "336-932-5102",
            "fax_number": "336-342-8356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 NC Highway 65",
            "address_purpose": "LOCATION",
            "city": "Wentworth",
            "state": "NC",
            "postal_code": "27375",
            "country_code": "US",
            "telephone_number": "336-932-5102",
            "fax_number": "336-342-8356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "28874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8944171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.