Individual provider Active NPI

Kenneth Earl Kerr, CRNA

  • Certified Registered Nurse Anesthetist
  • Whiteville, NC
National Provider Identifier
1750334777
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
151524 Issued in NC
Practice address
500 Jefferson St
Whiteville, NC 28472-3634
Phone
(910) 642-1737
NPI assigned
May 19, 2006
Last updated
Mar 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 151524 NC Primary

Addresses

Primary practice location

500 Jefferson St
Whiteville, NC 28472-3634

Mailing address

PO Box 665
104 Weaver Dr
Lake Waccamaw, NC 28450-0665
Phone (910) 646-3714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000415 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476524828 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 777-7000

800 E Cheves St
Florence, SC 29506-2650

800 E Cheves St
Florence, SC 29506-2652

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
96SCMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Oct 3, 2015 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince May 19, 2014 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Mar 19, 2018 Accepting new patients
McLeod Health Cheraw Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2015 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 9, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince May 19, 2014 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 9, 2022 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Dec 18, 2023 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered PastSince Jan 1, 2006 Accepting new patients
Lexington Medical Center Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Riverhills Anesthesia Associates Past Accepting new patients

Locations

76 Peachtree Rd
Ste 300
Asheville, NC 28803
Phone (828) 254-1969

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1750334777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "address_2": "104 WEAVER DR",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284500665",
            "telephone_number": "910-646-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723634",
            "telephone_number": "910-642-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "KENNETH",
        "middle_name": "EARL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "151524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.