Individual provider Active NPI

Kent R Folsom, MD

  • Emergency Medicine Physician
  • Rockingham, VA
National Provider Identifier
1912944877
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101051827 Issued in VA
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0101051827VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jul 1, 2021 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Apr 1, 2020 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

  • Direct secure messaging: kfolsom701547@valleyhealth.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101051827 VA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
6021697MedicaidVA
0046176000OtherVAWEST VA MEDICAID
930027681OtherVARAILROAD MEDICARE

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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

Verify at the official NPI Registry.