Ginger Ann Kenney, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06134 Issued in NC

Practice address

2000 S Horner Blvd
Sanford, NC 27330-5818

Phone

(919) 352-9538

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Family Care Fuquay PLLCGroup PAC ID 6103258306, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• American Family Care Fuquay PLLC

  • Urgent Care Clinic/Center
  • Fuquay Varina, NC
  • NPI 1770135808
  Medicare reassignment Care Compare group
• Open Water Medical, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1497490957
  NPD
• Open Water Medical, PA

  • Family Medicine Physician
  • Newport, NC
  • NPI 1699421065
  NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1740646777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 PHILLIPSBURG DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138202",
            "telephone_number": "919-559-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305818",
            "telephone_number": "919-352-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "GINGER",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Kelly Keith, MSN, RN
• Kellers Nursing Home Inc
• Kellers Nursing Home Inc
• Kellers Nursing Home Inc
• Rita Helen Kelly, CNM
• Kerr Drug Inc
• Kerr Drug Inc a Delaware Company
• Kidzcare Pediatrics, PC
• Eunjin Kim
• Jacklyn Kim, RDN, CDN

• Physician Assistant in Sanford, NC
• Providers in Sanford, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.