REVELSTONE FAMILY PRACTICE (NPI# 1790143436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790143436 |
| Entity Type | Organization |
| Organization Name | REVELSTONE FAMILY PRACTICE |
| Practice Address |
319 Yadkin St Albemarle NC 28001-3441 |
| Practice Telephone | 7049863900 |
| Practice Fax Number | 7049863913 |
| Mailing Telephone | 7049863900 |
| Mailing Fax Number | 7049863913 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. EDWARD ALLEN KEPP (OWNER) |
| Authorized Official Telephone | 7049863900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9400873 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8947986 | 05 |
| Street Address |
319 YADKIN ST |
| City | ALBEMARLE |
| State | NC |
| Zip Code | 28001-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194785899 | Edward A Kepp | Family Medicine | 319 Yadkin St, Albemarle, NC 28001-3441 | 2006-03-25 |
| 1639575376 | Emily Rose Greenlee | Nurse Practitioner | 319 Yadkin St, Albemarle, NC 28001-3441 | 2014-11-07 |
| 1326157512 | Laura B Daugherty | Nurse Practitioner | 319 Yadkin St, Albemarle, NC 28001-3441 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835828 | Ashley M Duncan | Physician Assistant | Atrium Stanly Emergent Department, 320 Yadkin St, Albermarle, NC 28001 | 2019-05-03 |
| 1659870616 | Crystal Hamilton | Home Health Aide | 1741 West Main Street, Albemarble, NC 28001 | 2018-02-06 |
| 1548703358 | J. Lemmons, Dds and Associates, Pa | Clinic/Center | 319 North Second Street, Albemarle, NC 28001 | 2016-11-28 |
| 1265807937 | Novant Medical Group, Inc | Orthopaedic Surgery | 1420 Us Highway 52, Suite B, Albemarle, NC 28001 | 2015-12-07 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1942674775 | The Charlotte-mecklenburg Hospital Authority | Skilled Nursing Facility | 625 Bethany Road, Albemarle, NC 28001 | 2015-11-17 |
| 1508248279 | Athena Vu Dds Pllc. | Dentist | 1122 North 6th Street, Albemarle, NC 28001 | 2015-06-18 |
| 1629482054 | Erika Shew | Pharmacist | 835 North Carolina 24, Albemarle, NC 28001 | 2014-06-13 |
| 1558794974 | Ted Allen Thompson Jr. | Pharmacist | 835 Hwy 24-27, Albemarle, NC 28001 | 2013-08-21 |
| 1912349606 | Elite Care Services Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33973 Lowder Reunion Rd, Albemarle, NC 28001 | 2013-07-23 |
| Find all providers in zip 28001 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558671529 | Leonard D Saltzman Md Pa | Family Medicine | 317 Yadkin St, Albemarle, NC 28001-3441 | 2010-10-08 |
| 1023133261 | Richard Vernon Liles Jr. | Family Medicine | 220 Yadkin St, Community Care Clinic, Albemarle, NC 28001 | 2007-03-20 |
| 1194785899 | Edward A Kepp | Family Medicine | 319 Yadkin St, Albemarle, NC 28001-3441 | 2006-03-25 |
| 1578542759 | Eric Merriman Johnsen | Family Medicine | 1007 N 6th St, Albemarle, NC 28001-3551 | 2006-01-16 |
| 1558342618 | Amir Koohestani | Family Medicine | 500 N 4th St, Albemarle, NC 28001-4024 | 2005-11-07 |
| 1083695159 | Kenneth Douglas Shank | Family Medicine | 815 N 3rd St, Albemarle, NC 28001-3403 | 2005-11-07 |
| 1023099181 | Carl Robert Nordstrom | Family Medicine | 739 E Oakwood Ave, Albemarle, NC 28001-4249 | 2005-11-07 |
| 1699156034 | Hope Family Medicine Pllc | Family Medicine | 929 N 2nd St, Suite 201, Albemarle, NC 28001-3363 | 2015-06-11 |
| 1871784744 | Satheesh Suddala | Family Medicine | 105 Yadkin St, Ste 301, Albemarle, NC 28001-3449 | 2007-08-06 |
| 1114120169 | Christina Adams | Family Medicine | 105 Yadkin St, Suite 301, Albemarle, NC 28001-3449 | 2007-06-07 |
| Find all providers in ALBEMARLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.