Individual provider Active NPI

Stephen Cameron Kearns, M.D.

  • Pediatrics Physician
  • Oak Ridge, NC
National Provider Identifier
1881820082
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2010-02086 Issued in NC
Practice address
2205 Oak Ridge Rd Ste BB
Oak Ridge, NC 27310-8645
Phone
(336) 644-0994
Fax
(336) 644-0997
NPI assigned
Jun 3, 2009
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2010-02086 NC Primary

Addresses

Primary practice location

2205 Oak Ridge Rd Ste BB
Oak Ridge, NC 27310-8645

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

501 Hickory Branch Dr
Greensboro, NC 27409-9601
Phone (336) 878-2270

Other identifiers 1

IdentifierTypeStateIssuer
5921390MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skearns27702@direct.novanthealth.org
Direct Messaging Address skearns27702@direct.novanthealth.org

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
I20230711001591 NC Practitioner - Pediatric Medicine 2365682010 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-02086NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Pediatrics CurrentSince Dec 26, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 28, 2023 Accepting new patients
Novant Health Medical Group LLC Pediatrics CurrentSince May 28, 2023 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

501 Hickory Branch Rd
Greensboro, NC 27409
Phone (336) 878-2260

2205 Oak Ridge Rd
Ste Bb
Oak Ridge, NC 27310
Phone (336) 644-0994

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1881820082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 OAK RIDGE RD STE BB",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273108645",
            "telephone_number": "336-644-0994",
            "fax_number": "336-644-0997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Hickory Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274099601",
            "country_code": "US",
            "telephone_number": "336-878-2270",
            "fax_number": "336-878-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "STEPHEN",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-02086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921390",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skearns27702@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "501 Hickory Branch Dr",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274099601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skearns27702@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2205 Oak Ridge Rd Ste Bb",
            "city": "Oak Ridge",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273108645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Ridge, NC

Sources for this page

Verify at the official NPI Registry.