Active NPI
Kenneth Alan Ford, FNP
- Nurse Practitioner
- Carolina Shores, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0050-03120
- Practice address
- 75 Emerson Bay Rd
Carolina Shores, NC 28467-2498 - Phone
- (910) 579-8363
- Fax
- (910) 579-8306
- NPI assigned
- Jun 26, 2007
- Last updated
- Apr 23, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0050-03120 | NC | Primary |
Addresses
Primary practice location
75 Emerson Bay Rd
Carolina Shores, NC 28467-2498
Mailing address
2850 Tate Blvd SE
Hickory, NC 28602-1450
Phone (828) 326-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, VA, DC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-03120 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Community Health Council Inc | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Nurse Practitioner | Current | Accepting new patients |
| Monogram Health Professional Services PC | Nurse Practitioner | Current | Accepting new patients |
| Cape Fear Clinic, Inc. | Current | Accepting new patients | |
| Monogram Health Professional Services of North Carolina PC | Nurse Practitioner | Current | Accepting new patients |
| Tri County Community Health Council Inc | Current | Accepting new patients | |
| Tri County Community Health Council Inc | Current | Accepting new patients | |
| Carolina Quickcare Family Practice, PLLC | Current | Accepting new patients |
Locations
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 704-4342
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
3331 Easy St
Dunn, NC 28334
341A Whiteville Rd NW
Shallotte, NC 28470
Phone (910) 754-8731
1605 Doctors Cir
Wilmington, NC 28401
Phone (910) 343-8736
615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125
128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865
5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
Interoperability endpoints
- kenneth.ford.1@22854.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Primary Care Clinic/Center
- Wilmington, NC
- NPI 1316296635
-
dba Carolina QuickCare Family Practice
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
- Nephrology Physician
- Winston Salem, NC
- NPI 1366162885
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Four Oaks, NC
- NPI 1427087709
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
DC, Nurse Practitioner, SC, VA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
GA, Nurse Practitioner
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba CommWell Health of Shallotte
- Federally Qualified Health Center (FQHC)
- Shallotte, NC
- NPI 1003218439
-
dba CommWell Health
- Adult Mental Health Clinic/Center
- Dunn, NC
- NPI 1790270999
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Brunswick Medical Center
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1881890846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 TATE BLVD SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021450",
"telephone_number": "828-326-7000",
"fax_number": "828-326-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 EMERSON BAY RD",
"city": "CAROLINA SHORES",
"state": "NC",
"postal_code": "284672498",
"telephone_number": "910-579-8363",
"fax_number": "910-579-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KENNETH",
"middle_name": "ALAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "0050-03120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina Shores, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.