Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Kimball, PA-C

Individual provider Physician Assistant · NPI 1083382634

John Kimball, PA-C is a Physician Assistant in Henderson, North Carolina. Graduated from Duke University School of Medicine in 2021, 5 years ago. Practices with Duke University Health System, Inc, a 1,082-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
Trained at
Duke University School of Medicine
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

381 Ruin Creek Rd
Henderson, NC 27536-2932
Phone: (252) 430-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083382634
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021
Mailing address819 Silver Linden Ln, Wake Forest, NC 27587-2958

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Duke University Health System, Inc — 1082 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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