| Kernersville Primary Care | |
|
420 W Mountain St Kernersville NC 27284-2534 | |
| (336) 993-1618 | |
| (336) 993-5512 |
| Full Name | Kernersville Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 420 W Mountain St, Kernersville, North Carolina |
| Authorized Official Name and Position | Joanelle V Kelly (OFFICE MANAGER) |
| Authorized Official Contact | 3369931618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kernersville Primary Care 420 W Mountain St Kernersville NC 27284-2534 Ph: (336) 993-1618 | Kernersville Primary Care 420 W Mountain St Kernersville NC 27284-2534 Ph: (336) 993-1618 |
| NPI Number | 1972566933 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 10/24/2013 |
| Medicare PECOS PAC ID | 7214914548 |
|---|---|
| Medicare Enrollment ID | O20040702001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972566933 | NPI | - | NPPES |
| 080107394 | Other | NC | RR MEDICARE |
| 890293K | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40743 (North Carolina) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 40743 (North Carolina) | Secondary |
| Provider Name | William Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730170374 PECOS PAC ID: 9638156961 Enrollment ID: I20100217000784 |
| Provider Name | Lisa Vang Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033889357 PECOS PAC ID: 7719376532 Enrollment ID: I20211117002168 |
| Provider Name | Sherry A Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164182275 PECOS PAC ID: 7416334792 Enrollment ID: I20220509000523 |
Generations Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Mountain St, Kernersville, NC 27284 Phone: 336-993-1618 Fax: 336-993-5512 | |
Novant Health Inpatient Care Specialists Kernersvile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1750 Kernersville Medical Pkwy, Kernersville, NC 27284 Phone: 336-564-4866 Fax: 336-277-6815 | |
Kernersville Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 445 Pineview Dr Ste 200b, Kernersville, NC 27284 Phone: 336-448-2427 Fax: 336-765-2869 | |
Novant Health Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Kernersville Medical Pkwy Ste 220, Kernersville, NC 27284 Phone: 336-564-4360 Fax: 336-564-4947 | |
Medcenter Urgent Care Kernersville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 Nc Highway 66 S, Suite 145, Kernersville, NC 27284 Phone: 336-992-4800 Fax: 336-996-2229 | |
Physical Medicine Of The Carolinas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Nc Highway 66 S, Suite G, Kernersville, NC 27284 Phone: 336-992-0110 | |
Wake Forest University Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Nc Highway 66 S, Kernersville, NC 27284 Phone: 336-834-3653 Fax: 336-886-0098 |