Active NPI
Kent R Folsom, MD
- Emergency Medicine Physician
- Rockingham, VA
National Provider Identifier
1912944877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101051827
- Practice address
- 2010 Health Campus Dr
Rockingham, VA 22801-8679 - Phone
- (540) 689-1414
- Fax
- (540) 689-1415
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Front Royal, VA
- NPI 1083236970
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100802000268 | VA | Practitioner - Emergency Medicine | 3577692052 | Reassigns benefits to 1 organization |
| I20210810004090 | NC | Practitioner - Emergency Medicine | 3577692052 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101051827 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
Interoperability endpoints
- kfolsom701547@valleyhealth.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101051827 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2010 Health Campus Dr
Rockingham, VA 22801-8679
Mailing address
1515 Cumberland Dr
Rockingham, VA 22801-8000
Phone (540) 820-6801
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6021697 | Medicaid | VA | |
| 0046176000 | Other | VA | WEST VA MEDICAID |
| 930027681 | Other | VA | RAILROAD MEDICARE |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kfolsom701547@soc.inova.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2021.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1912944877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 CUMBERLAND DR",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228018000",
"telephone_number": "540-820-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 HEALTH CAMPUS DR",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228018679",
"telephone_number": "540-689-1414",
"fax_number": "540-689-1415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSOM",
"first_name": "KENT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101051827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6021697",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VA MEDICAID",
"identifier": "0046176000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930027681",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kfolsom701547@soc.inova.org",
"affiliation": "N",
"address_1": "200 Memorial Dr",
"city": "Luray",
"state": "VA",
"country_code": "US",
"postal_code": "228351000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockingham, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.