Individual provider Active NPI

Kenny Simpkins, MD

  • Urology Physician
  • Marion, NC
National Provider Identifier
1770577918
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
32432 Issued in NC
Practice address
472 Rankin Dr
Marion, NC 28752-6568
Phone
(828) 659-5700
Fax
(828) 659-5785
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 32432 NC Primary

Addresses

Primary practice location

472 Rankin Dr
Marion, NC 28752-6568

Mailing address

472 Rankin Dr
Marion, NC 28752-6568
Phone (828) 659-5700

Other identifiers 4

IdentifierTypeStateIssuer
76358OtherNCBCBS OF NC
2646046002OtherNCCIGNA PROVIDER #
1970515OtherNCUNITED HEALTH CARE
8976358MedicaidNC

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
I20100225000451 NC Practitioner - Urology 7315018892 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospital, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Mission Hospital Inc Urology CurrentSince Sep 1, 2012 Accepting new patients
Victoria Urological Assoc. Urology CurrentSince May 1, 2008 Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

100 Victoria Rd
Asheville, NC 28801
Phone (828) 213-8074

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1770577918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 RANKIN DR",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526568",
            "telephone_number": "828-659-5700",
            "fax_number": "828-659-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 RANKIN DR",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526568",
            "telephone_number": "828-659-5700",
            "fax_number": "828-659-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPKINS",
        "first_name": "KENNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "32432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "76358",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "2646046002",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1970515",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976358",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.