NPIMap

Individual provider Active NPI

Hannah Beasley Bodenhamer, PA-C

  • Physician Assistant
  • Dobson, NC
National Provider Identifier
1003683400
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13895 Issued in NC
Practice address
911 E Atkins St
Dobson, NC 27017-8708
Phone
(336) 374-1010
NPI assigned
Dec 6, 2023
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13895 NC Primary

Addresses

Primary practice location

911 E Atkins St
Dobson, NC 27017-8708

Mailing address

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228002291 NC Practitioner - Physician Assistant 6800231978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5229 Rock Creek Rd
Hays, NC 28635-9267
Phone (336) 696-2711

631 CC Camp Rd
Elkin, NC 28621-8705
Phone (336) 366-1072

911 E Atkins St
Suite D
Dobson, NC 27017-8708
Phone (336) 374-1010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-13895NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Jan 25, 2024 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. CurrentSince Jan 25, 2024 Accepting new patients
Hugh Chatham Memorial Hospital Past Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Physician Assistant Past Accepting new patients

Locations

911 E Atkins St
Dobson, NC 27017
Phone (336) 374-1010

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037

3369 Clingman Rd
Ronda, NC 28670
Phone (336) 984-3003

Interoperability endpoints

  • Direct secure messaging: hbeasley@hcfme.gwaydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1003683400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E ATKINS ST",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178708",
            "telephone_number": "336-374-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENHAMER",
        "first_name": "HANNAH",
        "middle_name": "BEASLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.