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
Hospital & facility affiliations 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200824001498 | NC | Practitioner - Family Practice | 0749551182 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227729 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| Forsyth Memorial Hospital Inc | Family Medicine | Current |
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 |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkey896416@direct.novanthealth.org |
NPI Registry JSON
{
"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
- Sherrill Leigh Jordan
- Carley Jordan Joyner
- Suzanne Autrey Kelly
- Craig Landon Kester
- Gunnar Easton Key
- Siva Sankar Krishnan
- Laboratory Corporation of America Holdings
- Legacy
- Holly Delayne Lewis
- Liberty Healthcare Group, LLC
All providers in Yadkinville, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.