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MRS. ELISABETH ANNE KIDD PA-C
NPI 1013464999
Physician Assistant - Medical in Durham, NC

Active since September 08, 2016PECOS Enrolled
3643 N ROXBORO ST, DURHAM, NC 27704(919) 470-8490(919) 470-8469 Get Directions Write a Review

NPPES record last updated: September 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Elisabeth Anne Kidd Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELISABETH ANNE KIDD PA-C (NPI 1013464999) is an individual medical provider in Durham, North Carolina, licensed in North Carolina (0010-06692) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013464999
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ELISABETH ANNE KIDDCredential: PA-C
Location Address3643 N ROXBORO STDurham, NC 27704-2702
Mailing Address3643 N Roxboro StDurham, NC 27704-2702 · (919) 470-8490 · Fax (919) 470-8469
Phone(919) 470-8490
Fax(919) 470-8469
Sole ProprietorNo
Enumeration DateSeptember 8, 2016
✔ NPI 1013464999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-06692
3643 N ROXBORO ST, Durham, NC 27704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elisabeth Anne Kidd Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYDIA DARLUD MITCHELL M.D.
Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-5345
WILLIAM MATTHEW HAMMOND MS OTR/L
Occupational Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-7207
NATHAN ANDREWS DPT
Physical Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-4000
MR. SCOTT BREWNER RPH
Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-4168
DR. FREDERICK J CARPENTER M.D.
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-6186
DR. WILLIAM NORCROSS M.D.
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-6186
REBECCA SARA RICH M.D.
Internal Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-5345
DR. MICHAEL GREGORY WILLIS PHARM.D.
Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Durham County (919) 470-4168

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth Kidd's NPI number?

The NPI number for Elisabeth Kidd is 1013464999. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Elisabeth Kidd located?

Elisabeth Kidd practices at 3643 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 470-8490.

What is Elisabeth Kidd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elisabeth Kidd enrolled in Medicare?

Yes. Elisabeth Kidd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisabeth Kidd was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.