NPIMap

Individual provider Active NPI

Kimberly Vass-Eudy, D.O.

  • Family Medicine Physician
  • Troutman, NC
National Provider Identifier
1710100144
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007-01323 Issued in NC
Practice address
285 N Main St
Troutman, NC 28166-9514
Phone
(704) 883-3374
Fax
(704) 883-3375
NPI assigned
Apr 11, 2007
Last updated
Feb 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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 2007-01323 NC Primary

Addresses

Primary practice location

285 N Main St
Troutman, NC 28166-9514

Mailing address

766 Hartness Rd Ste B
Statesville, NC 28677-3485
Phone (704) 873-5667

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
I20071101000243 NC Practitioner - Family Practice 1951498336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

Statesville, NC 28677
Phone (704) 838-2182

285 N Main St
Suite D
Troutman, NC 28166-9515
Phone (704) 883-3374

766 Hartness Rd
Suite B
Statesville, NC 28677-3479

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007-01323NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Iredell Physician Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Bethlehem Family Practice, PA Past Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
Iredell Physician Network, LLC PastSince Mar 26, 2023 Accepting new patients
Wake Forest Health Network LLC Family Medicine Past Accepting new patients
Cornerstone Health Care LLC Past Accepting new patients

Locations

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

766 Hartness Rd
Ste B
Statesville, NC 28677

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: kvasseudy2754320@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 8

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 9

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1710100144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 HARTNESS RD STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773485",
            "telephone_number": "704-873-5667",
            "fax_number": "704-883-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N MAIN ST",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281669514",
            "telephone_number": "704-883-3374",
            "fax_number": "704-883-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASS-EUDY",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-01323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutman, NC

Sources for this page

Verify at the official NPI Registry.