MS. KERRY E PATMORE
NPI 1356774038
Counselor - Mental Health in Concord, NC

Active since August 16, 2013PECOS Enrolled
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025(914) 474-7308 Get Directions Write a Review

NPPES record last updated: April 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Kerry E Patmore NPPES

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

MS. KERRY E PATMORE (NPI 1356774038) is an individual mental health provider in Concord, North Carolina, licensed in North Carolina (A18614) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356774038
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KERRY E PATMORE
Location Address280 EXECUTIVE PARK DR STE 100Concord, NC 28025-1838
Mailing Address2009 Moss Creek DrHarrisburg, NC 28075-6696 · (914) 474-7308
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2013
Last NPPES UpdateApril 15, 2023
NPPES CertifiedApril 15, 2023
✔ NPI 1356774038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A18614
280 EXECUTIVE PARK DR STE 100, Concord, NC 28025

Other Names 1

Former Name (1)Miss Kerry E Tracy

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kerry E Patmore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022573666
PECOS Enrollment IDI20260723003215
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.

Medicare Billing Reassignment

Medicare enrollment records show Kerry Patmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
108 GATEWAY BLVD STE 207
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Physician Assistant
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Counselor (Mental Health)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Counselor (Mental Health)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025

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 Kerry Patmore's NPI number?

The NPI number for Kerry Patmore is 1356774038. It was assigned to this individual provider in the NPPES registry on August 16, 2013. The provider is also known as Miss Kerry E Tracy.

Where is Kerry Patmore located?

Kerry Patmore practices at 280 Executive Park Dr Ste 100, Concord, NC 28025. The listed phone number is (914) 474-7308.

What is Kerry Patmore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kerry Patmore enrolled in Medicare?

Yes. Kerry Patmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerry Patmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Patmore reassigns Medicare benefits to Stafford & Associates Counseling, PLLC (Mooresville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerry Patmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Patmore accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Kerry Patmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerry Patmore was last updated on April 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.