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

Keith Leon Hutchins Jr., PA-C, DHSC

Individual provider Surgical Physician Assistant · NPI 1376536714

Keith Leon Hutchins Jr., PA-C, DHSC is a Physician Assistant in Roanoke Rapids, North Carolina. Qualified in 1993, 33 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
33
Licensed in
NC
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

171 Nc Highway 125
Roanoke Rapids, NC 27870-6460
Phone: (252) 537-5631
Fax: (252) 537-7198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0010-00581 (NC)

Record details

NPI number1376536714
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , DHSC
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESMarch 7, 2023
Certification dateJanuary 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare