Individual provider Active NPI

Jonathan Christopher Kearns, PA-C

  • Medical Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1659737542
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-06113 Issued in NC
Practice address
120 Applecross Rd
Pinehurst, NC 28374-8520
Phone
(910) 692-8224
NPI assigned
Jan 7, 2016
Last updated
Jan 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-06113 NC Primary

Addresses

Primary practice location

120 Applecross Rd
Pinehurst, NC 28374-8520

Mailing address

564 N Page St
Southern Pines, NC 28387-4736
Phone (617) 283-6419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20231101003015 MA Practitioner - Physician Assistant 0143527929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1019 Trapelo Rd
Waltham, MA 02452-5002
Phone (774) 400-4084

1030 Main St
Waltham, MA 02451-7447
Phone (781) 894-6900

1210 Boylston St
Chestnut Hill, MA 02467-2109
Phone (774) 400-4084

154 Great Rd
Bedford, MA 01730-2725
Phone (781) 430-8161

16 Main St
Stoneham, MA 02180-3334
Phone (781) 279-4000

17 White St
Cambridge, MA 02140-1413
Phone (781) 430-9161

228 Washington St
Attleboro, MA 02703-5561
Phone (774) 400-4084

4110 Mystic Valley Pkwy
Suite 2
Medford, MA 02155-6916
Phone (774) 400-4084

648 Old W Central St
Franklin, MA 02038-3826
Phone (774) 400-4084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06113NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Urgent Care Professionals PC CurrentSince Oct 1, 2023 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

Organizations & group practices 3

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1659737542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 N PAGE ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874736",
            "telephone_number": "617-283-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 APPLECROSS RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748520",
            "telephone_number": "910-692-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "JONATHAN",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.