NPIMap

Individual provider Active NPI

James E Kenney, M.D.

  • Family Medicine Physician
  • Henderson, NC
National Provider Identifier
1639177249
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23579 Issued in NC
Practice address
176 Beckford Drive
Henderson, NC 27536
Phone
(252) 492-2161
Fax
(252) 438-2888
NPI assigned
Jul 8, 2005
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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 23579 NC Primary

Addresses

Primary practice location

176 Beckford Drive
Henderson, NC 27536

Mailing address

176 Beckford Drive
Henderson, NC 27536
Phone (252) 492-2161

Other identifiers 2

IdentifierTypeStateIssuer
8948503MedicaidNC
207818B (WARRENTON)OtherNCMC#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000092 NC Practitioner - Family Practice 2062475387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

176 S Beckford Dr
Henderson, NC 27536-2584
Phone (252) 492-2161

816 US Hwy
158 Bus W
Warrenton, NC 27589-9788

816 US Hwy 158
Business W
Warrenton, NC 27589-9788
Phone (252) 257-6213

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23579NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beckford Avenue Medical Center PA Family Medicine CurrentSince Oct 2, 1996 Accepting new patients
Universal Health Care Oxford Inc Past Accepting new patients
Liberty Healthcare Group, LLC Past Accepting new patients

Locations

176 S Beckford Dr
Henderson, NC 27536
Phone (252) 492-2161

6010A NC Highway 561
Louisburg, NC 27549
Phone (919) 340-0284

816 US Highway 158 Bus W
Warrenton, NC 27589
Phone (252) 257-6213

Interoperability endpoints

  • Direct secure messaging: james.kenney@bamcc.eclinicaldirectplus.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
Liberty Healthcare Group LLCWarrenton, NC, CCN 345240 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 4, 2025
Feb 3, 2026

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 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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1639177249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BECKFORD DRIVE",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-492-2161",
            "fax_number": "252-438-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BECKFORD DRIVE",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-492-2161",
            "fax_number": "252-438-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "23579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8948503",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC#",
            "identifier": "207818B (WARRENTON)",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.