Individual provider Active NPI

Kevin Andrew Macdonald, MD

  • Family Medicine Physician
  • New Bern, NC
National Provider Identifier
1962939280
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-00378 Issued in NC
Practice address
670 Cardinal Rd
New Bern, NC 28562-5201
Phone
(252) 636-6222
Fax
(252) 636-5385
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 2020-00378 NC Primary

Addresses

Primary practice location

670 Cardinal Rd
New Bern, NC 28562-5201

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 636-6222

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200717000298 NC Practitioner - Family Practice 9739453754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Practice addresses (Care Compare)

1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1010 Lathan LN
New Bern, NC 28562-4002
Phone (252) 672-0224

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273

1224 E Main St
Havelock, NC 28532-2405
Phone (252) 447-7474

670 Cardinal Rd
New Bern, NC 28562-5201
Phone (252) 636-6222

900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pollocksville, NC, CCN 347333
  • Pruitthealth Home Health New Bern Home health agency, New Bern, NC, CCN 347026
  • 3HC Home health agency, Goldsboro, NC, CCN 347104
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020-00378NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Family Medicine Current Accepting new patients
Carolinaeast Physicians Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Coastal Carolina Health Care PA Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA Family Medicine Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince Sep 1, 2022 Accepting new patients
Carolinaeast Physicians CurrentSince Aug 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

2604 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 638-4023

670 Cardinal Rd
New Bern, NC 28562
Phone (252) 514-2061

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: kmacdonald27107@coastalcarolinahealthcenter.gardenplot.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1962939280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-636-6222",
            "fax_number": "252-636-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CARDINAL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625201",
            "telephone_number": "252-636-6222",
            "fax_number": "252-636-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-00378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.