Kerry Lynn Musick, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2015-02011 Issued in NC

Practice address

136 Fairview Rd Ste 125
Mooresville, NC 28117-8547

Phone

(704) 677-7635

Fax

(980) 435-0398

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Geode Health of North Carolina, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1588433502
  NPD

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1629230263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 FAIRVIEW RD STE 125",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178547",
            "telephone_number": "704-677-7635",
            "fax_number": "980-435-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 FAIRVIEW RD STE 125",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178547",
            "telephone_number": "704-677-7635",
            "fax_number": "980-435-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSICK",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "24861",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2015-02011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629230263",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Millicent Murphy, PHARMD
• Emily Murray, NP
• Tyler Murtha
• Amanda Leigh Muse
• Kaitlyn Muse, MOT
• Teddy Manning Musselman, DPM
• My Veteran Home Care LLC
• Deborah Jo Myers, FNP
• Kayla Marie Myers, PA
• Macenzie Myers

• Psychiatry Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.