Individual provider Active NPI

Kimberly Anne Cowart, DMS, PA-C

  • Physician Assistant
  • Greenville, NC
National Provider Identifier
1649861139
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
845 Johns Hopkins Dr Ste B
Greenville, NC 27834-7200
Phone
(252) 540-7690
NPI assigned
Jan 28, 2021
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

845 Johns Hopkins Dr Ste B
Greenville, NC 27834-7200

Mailing address

2874 Ward Blvd
Wilson, NC 27893-1761
Phone (252) 291-5600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220218001777 NC Practitioner - Physician Assistant 5799174157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

845 Johns Hopkins Dr
Suite B
Greenville, NC 27834-7200
Phone 2522915600720

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Coastal Carolina, PA CurrentSince Feb 1, 2022 Accepting new patients
Skin Surgery Center PA CurrentSince Jul 1, 2025 Accepting new patients
Frederick a. Lupton III MD PA PastSince Feb 2, 2003 Accepting new patients

Locations

3107 Brassfield Rd
Ste 300
Greensboro, NC 27410
Phone (336) 545-8133

845 Johns Hopkins Dr
Ste B
Greenville, NC 27834
Phone (252) 540-7690

3332 Bridges St
Ste B
Morehead City, NC 28557
Phone (252) 622-4378

2874 Ward Blvd
Wilson, NC 27893
Phone (252) 291-5600

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1649861139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 WARD BLVD",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931761",
            "telephone_number": "252-291-5600",
            "fax_number": "252-291-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 JOHNS HOPKINS DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347200",
            "telephone_number": "252-540-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.