Mary Kathryn Brewer Key

Individual provider Active NPI Family Medicine Physician · Yadkinville, NC

NPI 1801324686 · NPPES record last updated Apr 26, 2023

Key facts

NPI
1801324686
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
227729 (NC)
Practice address
305 E Lee Ave
Yadkinville, NC 27055-8132
Phone
(336) 679-2661
Fax
(336) 679-7056
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Campbell Univ School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forsyth Memorial Hospital Inc (622 clinicians)

Practice addresses (Care Compare)

100 Robinhood Medical PLZ
Winston Salem, NC 27106-5476
Phone (336) 718-0800

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital · Winston-Salem, NC · CCN 340014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200824001498 NC Practitioner - Family Practice 0749551182 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
227729NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current
since Jul 1, 2020
Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc Current
since Jul 1, 2020
Accepting new patients
Forsyth Memorial Hospital Inc Family Medicine Current
since Feb 1, 2023
Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Forsyth Memorial Hospital, Inc. Family Medicine Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current
since Jul 1, 2020
Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current
since Jul 1, 2020
Accepting new patients
Forsyth Memorial Hospital, Inc. Current
since Feb 1, 2023
Accepting new patients
Carolinas Physicians Network Inc Family Medicine Current
since Jul 1, 2020
Accepting new patients
Carolinas Physicians Network Inc Family Medicine Past Accepting new patients
Forsyth Memorial Hospital, Inc Family Medicine Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

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

5641 Poplar Tent Rd
Ste 101
Concord, NC 28027
Phone (704) 782-1955

319 Penny Ln
Concord, NC 28025
Phone (704) 262-1911

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

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

8560 Cook St
Mt Pleasant, NC 28124
Phone (704) 403-1911

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

305 E Lee Ave
Yadkinville, NC 27055
Phone (336) 679-2661

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 227729 NC Yes

Addresses

Primary practice location

305 E Lee Ave
Yadkinville, NC 27055-8132

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice location 1

8560 Cook St
MT Pleasant, NC 28124-7686
Phone (704) 436-6521

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mkey896416@direct.novanthealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2023.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1801324686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E LEE AVE",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270558132",
            "telephone_number": "336-679-2661",
            "fax_number": "336-679-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8560 Cook St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "NC",
            "postal_code": "281247686",
            "country_code": "US",
            "telephone_number": "704-436-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEY",
        "first_name": "MARY",
        "middle_name": "KATHRYN BREWER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "227729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkey896416@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "305 E Lee Ave",
            "city": "Yadkinville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270558132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yadkinville, NC

All providers in Yadkinville, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.