Kent Dickerson, MD
NPI 1740084631 · Student in an Organized Health Care Education/Training Program · Winston Salem, NC
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kent Dickerson, MD is a Student in an Organized Health Care Education/Training Program provider in Winston Salem, NC (NPI 1740084631).
Provider details
- NPI number
- 1740084631
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1170 Hardison RdWilliamston, NC 27892-9124Phone: (252) 217-9730
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-04-02
- Certified
- 2025-03-24
Frequently asked questions
- What is Kent Dickerson's NPI number?
- Kent Dickerson's National Provider Identifier (NPI) is 1740084631, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kent Dickerson's specialty?
- Kent Dickerson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kent Dickerson located?
- Kent Dickerson's practice location on file with NPPES is 5th Janeway Tower 1 Medical, Winston Salem, NC 27157-0001.
- What is Kent Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Kent Dickerson is (336) 716-0423.
- Does Kent Dickerson accept Medicare?
- Kent Dickerson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kent Dickerson's NPI active?
- Yes — Kent Dickerson's NPI (1740084631) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.