Kayd James Pulsipher, DO

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

607 Beaman St
Clinton, NC 28328-2603

Phone

(910) 592-8511

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Rocky Vista University College of Osteopathic Med, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  Medicare reassignment NPD
• Atlantic Dermatology, PA

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1871043109
  NPD (past)
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1982354080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 S 800 E",
            "city": "PARADISE",
            "state": "UT",
            "postal_code": "843289734",
            "telephone_number": "435-535-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-592-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017346",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723706",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 Vance St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283284001",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1099 Medical Center Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017367",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5272 Ocean Hwy W",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704006",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULSIPHER",
        "first_name": "KAYD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2025-02534",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Health North Carolina LLC
• Professional Group Living, LLC
• Professional Group Living, LLC
• Progressive Healthcare & Counseling Services Inc.
• Progressive Medical Equipment and Supplies
• Quality in Home Care Agency Inc
• Quality in Home Care Agency, Inc.
• Quick Med Inc
• Ariana Denise Rayner
• Berkley R Raynor, MS, CCC/SLP

• Student in an Organized Health Care Education/Training Program in Clinton, NC
• Providers in Clinton, NC by specialty
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.