BECKFORD AVENUE MEDICAL CENTER PA
NPI 1679571574
Family Medicine in Henderson, NC

Active since July 13, 2005
176 BECKFORD DR, HENDERSON, NC 27536(252) 492-2161(252) 438-2888 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beckford Avenue Medical Center Pa NPPES

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

BECKFORD AVENUE MEDICAL CENTER PA (NPI 1679571574) is a healthcare organization registered as a family medicine in Henderson, North Carolina and active in the NPI registry since July 2005. The organization lists James E Kenney, President, as its authorized official.

NPPES Registry Identity

NPI1679571574
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBECKFORD AVENUE MEDICAL CENTER PA
Location Address176 BECKFORD DRHenderson, NC 27536-2589
Mailing Address176 Beckford DrHenderson, NC 27536-2589 · (252) 492-2161 · Fax (252) 438-2888
Fax(252) 438-2888
Organization SubpartNo
Authorized OfficialJames E KenneyPresident · (252) 492-2161
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1679571574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
176 BECKFORD DR, Henderson, NC 27536

Other Identifiers 1

Medicaid8901092NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beckford Avenue Medical Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Beckford Avenue Medical Center PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1316054364
176 BECKFORD DRIVE
Henderson, NC 27536
(252) 492-2161
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1639177249
176 BECKFORD DRIVE
Henderson, NC 27536
(252) 492-2161
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427810621
816 US HIGHWAY 158 BUSINESS WEST, SUITE 102
Warrenton, NC 27589
(252) 257-6213
✔ PECOS✔ Accepts Medicare17 mi

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

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 Beckford Avenue Medical Center PA's NPI number?

The NPI number for Beckford Avenue Medical Center PA is 1679571574. It was assigned to this organization in the NPPES registry on July 13, 2005.

Where is Beckford Avenue Medical Center PA located?

Beckford Avenue Medical Center PA is located at 176 Beckford Dr, Henderson, NC 27536. The listed phone number is (252) 492-2161.

What is Beckford Avenue Medical Center PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Beckford Avenue Medical Center PA enrolled in Medicare?

Yes. Beckford Avenue Medical Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beckford Avenue Medical Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Beckford Avenue Medical Center PA, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beckford Avenue Medical Center PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Beckford Avenue Medical Center PA 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 Beckford Avenue Medical Center PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.