NPIMap

Individual provider Active NPI

Kurt Gerard Vernon, M.D.

  • Gastroenterology Physician
  • Dunn, NC
National Provider Identifier
1871559930
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9501139 Issued in NC
Practice address
904 W Broad St Ste D
Dunn, NC 28334-4147
Phone
(910) 891-5808
Fax
(910) 891-5323
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9501139 NC Primary

Addresses

Primary practice location

904 W Broad St Ste D
Dunn, NC 28334-4147

Mailing address

3412 Birk Bluff CT
Cary, NC 27511-8224
Phone (910) 891-5808

Other identifiers 3

IdentifierTypeStateIssuer
85016OtherNCBLUE CROSS BLUE SHIELD NC
8985016MedicaidNC
84580OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071030000196 NC Practitioner - Gastroenterology 7012958135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Howard University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1004 Procure St
Fuquay Varina, NC 27526-2620

904 W Broad St
Suite D
Dunn, NC 28334-4147

904 W Broad St D
Dunn, NC 28334-4147
Phone (919) 577-0085

Hospital & facility affiliations

  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
72.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy250
Upper gastrointestinal (GI) endoscopy for acid reflux397

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt G Vernon MD PA Gastroenterology CurrentSince Jan 1, 1998 Accepting new patients
Kurt G Vernon MD PA CurrentSince Jan 1, 1998 Accepting new patients
Anesthesia Care Services, PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

904 W Broad St
Ste D
Dunn, NC 28334
Phone (910) 891-5808

604C Erwin Rd
Dunn, NC 28334
Phone (910) 891-5808

1004 Procure St
Fuquay Varina, NC 27526
Phone (910) 624-7067

Interoperability endpoints

  • FHIR API: https://177472a4-574c-4a73-8deb-a3663624cdb8.gastro.prod.fhir.ema-api.com/fhir/r4/

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1871559930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 BIRK BLUFF CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275118224",
            "telephone_number": "910-891-5808",
            "fax_number": "910-891-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W BROAD ST STE D",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344147",
            "telephone_number": "910-891-5808",
            "fax_number": "910-891-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "KURT",
        "middle_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "9501139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "85016",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985016",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "84580",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.