Individual provider Active NPI

Kevin Ray Pressley, M.D.

  • Family Medicine Physician
  • Whiteville, NC
National Provider Identifier
1932245305
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35467 Issued in NC
Practice address
805 S Madison St
Whiteville, NC 28472-4613
Phone
(910) 654-2050
Fax
(910) 654-1258
NPI assigned
Jan 30, 2007
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35467 NC Primary

Addresses

Primary practice location

805 S Madison St
Whiteville, NC 28472-4613

Mailing address

PO Box 250
Cerro Gordo, NC 28430-0250
Phone (910) 654-2050

Other identifiers 1

IdentifierTypeStateIssuer
8969113MedicaidNC

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

LicenseStateTypeSpecialty
35467NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
G&G Healthcare, PC Family Medicine Past Accepting new patients
Urgent Care Centers of Carolina, Inc. Past Accepting new patients
Intramed Family Practice & Urgent Care PA Family Medicine Past Accepting new patients
Shallotte Medical Center Inc Family Medicine Past Accepting new patients
Shallotte Medical Center Inc Family Medicine Past Accepting new patients
Shallotte Medical Center Inc Family Medicine Past Accepting new patients
Chicora Medical Group PA Past Accepting new patients

Organizations & group practices 7

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1932245305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "CERRO GORDO",
            "state": "NC",
            "postal_code": "284300250",
            "telephone_number": "910-654-2050",
            "fax_number": "910-654-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724613",
            "telephone_number": "910-654-2050",
            "fax_number": "910-654-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLEY",
        "first_name": "KEVIN",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "35467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8969113",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.