Kevin James Kerlin, M.D., F.A.C.R.O.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

35393 Issued in NC

Practice address

2802 McLamb PL
Goldsboro, NC 27534-1600

Phone

(919) 734-7265

Fax

(919) 734-6421

NPI assigned

Aug 8, 2006

Last updated

May 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Radiation Oncology

Education

Rutgers New Jersey Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventhealth Medical Group Cancer and Specialty Care LLCGroup PAC ID 0042246050, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adventhealth Medical Group Cancer and Specialty Care LLC

  dba AdventHealth Medical Group Radiation Oncology

  • Radiation Oncology Physician
  • Asheville, NC
  • NPI 1306826961
  Medicare reassignment Care Compare group NPD
• Goldsboro Radiation Therapy Services, PA

  • Specialist
  • Goldsboro, NC
  • NPI 1609886191
  Authorized official Same address or phone
• Sampson Radiation Oncology, PA

  • Radiation Oncology Physician
  • Clinton, NC
  • NPI 1356361174
  NPD (past) Authorized official
• Asheville Urological Assoc Inc.

  • Urology Physician
  • Asheville, NC
  • NPI 1790782340
  NPD
• Genesiscare USA of North Carolina, PA

  dba Genesiscare Surgical Specialists

  • Colon & Rectal Surgery Physician
  • Asheville, NC
  • NPI 1477144004
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne Memorial Hospital Inc

  dba UNC Health Wayne

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1609886167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341600",
            "telephone_number": "919-734-7265",
            "fax_number": "919-734-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLIN",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.R.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "35393",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "35393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01016591",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5457621",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7524615",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948552",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth D Keesee Jr., DPT
• Daniel Patrick Keilman
• Douglas Charles Keith, MD
• Natalie A. Kemp, MA, LPA
• Robert David Kemp, MD
• Louise Griffin Kesler, R.PH.
• Kevin Jay Wolf (Goldsboro Podiatry)
• Keys 2 Peace, PLLC
• Abdul S Khalid, MD
• Khushbu Patel, DDS, PLLC

• Radiation Oncology Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Radiation Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.