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

Active since July 13, 2005CLIA 34D0699695 · Microscopy
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: July 26, 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 holds a CLIA Microscopy certificate valid through June 28, 2027 and 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
Phone(252) 492-2161
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0699695

Beckford Medical Clinic · Henderson, NC
Active · expires Jun 28, 2027
CLIA Number34D0699695
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorJames E. Kenney MD
Laboratory Phone(919) 492-2161
Laboratory LocationBeckford Medical Clinic176 Beckford Drive, Henderson, NC 27536
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Does Beckford Avenue Medical Center PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0699695) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beckford Avenue Medical Center PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee 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 with the weekly NPPES data releases published by CMS.