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

Individual provider Physician Assistant · NPI 1073343406

Kimberly Paige Vernelson, PA-C is a Physician Assistant in Greenville, North Carolina. Qualified in 2024, 2 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
2
Licensed in
NC
In the registry since
2024
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

810 Wh Smith Blvd
Greenville, NC 27834-3763
Phone: (252) 757-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15087 (NC)

Record details

NPI number1073343406
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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