Individual provider Active NPI

Kevin M. McKnight, MD

  • Rheumatology Physician
  • Pine Knoll Shores, NC
National Provider Identifier
1598773343
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
38137 Issued in NC
Practice address
320 Salter Path Rd # Unitsab
Pine Knoll Shores, NC 28512-6135
Phone
(252) 773-0068
Fax
(252) 773-0110
NPI assigned
Aug 4, 2006
Last updated
May 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38137 NC
Addiction Medicine (Internal Medicine) Physician 207RA0401X 38137 NC
Physical Medicine & Rehabilitation Physician 208100000X 38137 NC
Rheumatology Physician 207RR0500X 38137 NC Primary

Addresses

Primary practice location

320 Salter Path Rd # Unitsab
Pine Knoll Shores, NC 28512-6135

Mailing address

PO Box 966
Atlantic Beach, NC 28512-0966
Phone (252) 723-1369

Other identifiers 2

IdentifierTypeStateIssuer
57265OtherNCBC BS
1598773343MedicaidNC

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
I20070613000297 NC Practitioner - RheumatologyPractitioner - Internal Medicine 4486752532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Creighton University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 Salter Path Rd
Pine Knoll Shores, NC 28512-6135
Phone (252) 773-0068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38137NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rehabilitation Medicine, PLLC CurrentSince Apr 15, 2017 Accepting new patients
Interventional Pain & Spine Specialists, PLLC Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients

Locations

3014 Bridges St
Morehead City, NC 28557
Phone (252) 499-9021

3014 Bridges St
#200
Morehead City, NC 28557
Phone (252) 499-9021

320 Salter Path Rd
Pks, NC 28512
Phone (252) 773-0068

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6303/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1598773343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "ATLANTIC BEACH",
            "state": "NC",
            "postal_code": "285120966",
            "telephone_number": "252-723-1369",
            "fax_number": "252-773-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SALTER PATH RD # UNITSAB",
            "city": "PINE KNOLL SHORES",
            "state": "NC",
            "postal_code": "285126135",
            "telephone_number": "252-773-0068",
            "fax_number": "252-773-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "38137",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NC",
            "license": "38137",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "38137",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "38137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "57265",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598773343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Knoll Shores, NC

Sources for this page

Verify at the official NPI Registry.