Individual provider Active NPI

Adam S Kendall, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Greensboro, NC
National Provider Identifier
1790715845
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2006-00505 Issued in NC
Practice address
3200 Northline Ave
Ste 200
Greensboro, NC 27408-7602
Phone
(336) 545-5000
Fax
(336) 545-5020
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2006-00505 NC Primary

Addresses

Primary practice location

3200 Northline Ave
Ste 200
Greensboro, NC 27408-7602

Mailing address

PO Box 38008
Greensboro, NC 27438-8008
Phone (336) 545-5000

Other identifiers 1

IdentifierTypeStateIssuer
5907040MedicaidNC

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
I20061208000527 NC Practitioner - Sports MedicinePractitioner - Family Practice 9830198464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1130 N Church St
Suite 100
Greensboro, NC 27401-1041
Phone (336) 375-2300

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jan 1, 2019 Accepting new patients
Emergeortho PA CurrentSince Jan 1, 2019 Accepting new patients

Locations

3200 Northline Ave
Ste 200
Greensboro, NC 27408
Phone (336) 544-3905

3200 Northline Ave
Ste 160
Greensboro, NC 27408
Phone (336) 545-3530

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • Direct secure messaging: adamkendall@go.allscriptsdirect.net
  • Direct secure messaging: adam.kendall.1@847.direct.athenahealth.com

Organizations & group practices 2

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 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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1790715845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38008",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274388008",
            "telephone_number": "336-545-5000",
            "fax_number": "336-545-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE",
            "address_2": "STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087602",
            "telephone_number": "336-545-5000",
            "fax_number": "336-545-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "ADAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2006-00505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.