Active NPI
Paul M Kinnaird, MD
- Pediatrics Physician
- Rocky Mount, NC
National Provider Identifier
1871587758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25043
- Practice address
- 100 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400 - Phone
- (252) 451-3100
- Fax
- (252) 937-3106
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25043 | NC | Primary |
Addresses
Primary practice location
100 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400
Mailing address
PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2537521 | Other | NC | CIGNA HEALTHCARE |
| 8949350 | Medicaid | NC | |
| P00273662 | Other | NC | RAILROAD MEDICARE |
| B6660 | Other | ND | MEDCOST |
| 49530 | Other | ND | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25043 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1871587758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7200",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040200",
"telephone_number": "252-937-0200",
"fax_number": "252-451-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NASH MEDICAL ARTS MALL",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041400",
"telephone_number": "252-451-3100",
"fax_number": "252-937-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNAIRD",
"first_name": "PAUL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "25043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "2537521",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8949350",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00273662",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "B6660",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "49530",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.