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

Randy Kimery, PA

Individual provider Medical Physician Assistant · NPI 1902315625

Randy Kimery, PA is a Physician Assistant in Wilmington, North Carolina. Qualified in 2017, 9 years ago. Practices with East Carolina Anesthesia Associates PLLC, a 680-clinician group and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
9
Licensed in
MD, NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5710 Oleander Dr Ste 201
Wilmington, NC 28403-4722
Phone: (833) 365-7246
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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 0010-10558 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C06610 (MD)

Record details

NPI number1902315625
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice East Carolina Anesthesia Associates Pllc — 680 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Wilmington