Question 1

What type of a medical provider is Randy Kimery?

Accepted Answer

Randy Kimery is a Physician Assistant.

Question 2

Where does Randy Kimery practice medicine?

Accepted Answer

Randy Kimery has the following practice address:5710 OLEANDER DR STE 201, WILMINGTON, NC 28403-4722

Question 3

Does this provider have a license number?

Accepted Answer

Randy Kimery has 2 license numbers, including: License Number 0010-10558 issued in North Carolina.

Question 4

Does Randy Kimery accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Randy Kimery have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Randy Kimery a member of any Medical Groups?

Accepted Answer

Randy Kimery is affiliated with one medical group in the WILMINGTON area, PREMIER PAIN SOLUTIONS PLLC.

Question 7

Does Randy Kimery participate in PECOS?

Accepted Answer

Yes, Randy Kimery participates in PECOS.

Question 8

What phone number can I call to contact Randy Kimery?

Accepted Answer

You can call the following number: (833)-365-7246

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Randy Kimery.

Question 10

Is Randy Kimery  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (4/6/2023).

Taxonomy	State	Primary?
Physician Assistant - Taxonomy Code 363A00000X	NC	Y
Physician Assistant (Medical) - Taxonomy Code 363AM0700X	MD	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20210315002230
PECOS Individual PAC ID:	5395005219
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Randy Kimery

Overview