Kerry Dewitt Shepherd, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-07573 Issued in NC

Practice address

1 Resort Dr
Asheville, NC 28806-3815

Phone

(828) 350-1773

NPI assigned

Jun 12, 2011

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Area Health Education Center IncGroup PAC ID 0143206599, 156 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Mountain Area Health Education Center, Inc.

  dba MAHEC Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1952356388
  Medicare reassignment Care Compare group
• Mountain Area Health Education Center, Inc.

  dba MAHEC Center for Psychiatry and Mental Wellness

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1295390409
  NPD
• Mountain Area Health Education Center, Inc.

  dba MAHEC Behavioral Health

  • Psychiatry Physician
  • Cullowhee, NC
  • NPI 1437040755
  NPD

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1952696528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESORT DRIVE",
            "address_2": "MOUNTAIN SLEEP OFFICE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063815",
            "telephone_number": "828-350-1773",
            "fax_number": "828-350-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESORT DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063815",
            "telephone_number": "828-350-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 1/2 State St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274055657",
            "country_code": "US",
            "telephone_number": "336-484-1411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Choctaw St Ste A",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014514",
            "country_code": "US",
            "telephone_number": "828-255-7733",
            "fax_number": "828-258-3084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KERRY",
        "middle_name": "DEWITT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-12",
        "last_updated": "2021-01-29",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07573",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jia Shen
• Mary Barry Shepard, LSCWA, MSW
• Billie Ann Shepherd, MD
• Jessica Shepherd, PT
• Jessica Shepherd, CADC-I
• Krysten James Shepherd, M.D.
• Laura H Shepherd, RN
• Mark M Shepherd, PA
• Russel Hugh Sher, D.C.
• Sarah Rene Sher

• Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.
• 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.

Verify at the official NPI Registry.