Individual provider Active NPI

Kevin Lee Burns, MD

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1710908546
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20010-0125 Issued in NC
Practice address
5038 Peters Creek Pkwy Ste 150
Winston Salem, NC 27127-7172
Phone
(336) 277-2710
Fax
(336) 277-2719
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20010-0125 NC Primary

Addresses

Primary practice location

5038 Peters Creek Pkwy Ste 150
Winston Salem, NC 27127-7172

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1381 Westgate Center Dr
Winston Salem, NC 27103-2934
Phone (336) 718-0100

Other identifiers 3

IdentifierTypeStateIssuer
1710908546MedicaidNC
89128JXMedicaidNC
110220911OtherNCRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kburns206313@direct.novanthealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000283 NC Practitioner - Internal Medicine 4486689049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20010-0125NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Wake Forest Health Network, LLC CurrentSince Nov 1, 2005 Accepting new patients
Cornerstone Health Care, LLC Internal Medicine CurrentSince Nov 1, 2005 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 23, 2024 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Jan 23, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

810 N Lindsay St
High Point, NC 27262
Phone (336) 802-2060

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

5038 Peters Creek Pkwy
Unit 150
Winston Salem, NC 27127
Phone (336) 277-2710

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

1381 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-0100

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1710908546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 PETERS CREEK PKWY STE 150",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277172",
            "telephone_number": "336-277-2710",
            "fax_number": "336-277-2719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1381 Westgate Center Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032934",
            "country_code": "US",
            "telephone_number": "336-718-0100",
            "fax_number": "336-718-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "20010-0125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710908546",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128JX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110220911",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kburns206313@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1381 Westgate Center Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271032934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.