Individual provider Active NPI

Kenneth Maurice Lovette, MD

  • General Practice Physician
  • Farmville, NC
National Provider Identifier
1811046535
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
37586 Issued in SC
Practice address
3485 N Main St
Farmville, NC 27828
Phone
(252) 753-3193
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 37586 SC Primary

Addresses

Primary practice location

3485 N Main St
Farmville, NC 27828

Mailing address

PO Box 1259
Camden, SC 29021-1259
Phone (803) 713-8350

Other identifiers 2

IdentifierTypeStateIssuer
37586OtherSCSOUTH CAROLINA LICENSE
8953021MedicaidNC

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
I20170920002181 NC Practitioner - Internal MedicinePractitioner - Obstetrics/Gynecology 1355236340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Farmville Internal Medicine PAGroup PAC ID 8325037575, 4 clinicians

Practice addresses (Care Compare)

3485 N Main St
Farmville, NC 27828-1466
Phone (252) 753-3193

Hospital & facility affiliations

  • Vidant Edgecombe Hospital Hospital, Tarboro, NC, CCN 340107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24606NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmville Internal Medicine PA CurrentSince Aug 1, 2017 Accepting new patients
Hertford County Public Health Authority Past Accepting new patients
Tarboro Women'S Center PA Past Accepting new patients
Hertford County Public Health Authority Past Accepting new patients

Locations

3485 North Main St
Farmville, NC 27828
Phone (252) 753-3193

216 E Marion St
Kershaw, SC 29067
Phone (803) 475-3350

Interoperability endpoints

  • Direct secure messaging: kenneth.lovette.1@32498.direct.athenahealth.com

Organizations & group practices 4

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1811046535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290211259",
            "telephone_number": "803-713-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 N MAIN ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "27828",
            "telephone_number": "252-753-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVETTE",
        "first_name": "KENNETH",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "37586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA LICENSE",
            "identifier": "37586",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953021",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, NC

Sources for this page

Verify at the official NPI Registry.