Individual provider Active NPI

Susan T Hoggard

  • Pediatric Nurse Practitioner
  • Ahoskie, NC
National Provider Identifier
1013079938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
300345 Issued in NC
Practice address
201 Colony Ave S
Ahoskie, NC 27910-3207
Phone
(252) 332-5041
Fax
(252) 332-6115
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 300345 NC Primary

Addresses

Primary practice location

201 Colony Ave S
Ahoskie, NC 27910-3207

Mailing address

201 Colony Ave S
Ahoskie, NC 27910-3207
Phone (252) 332-5041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502001872 NC Practitioner - Nurse Practitioner 8022458439 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Chowan Community Health Center Inc CurrentSince Mar 19, 2024 Accepting new patients
Roanoke Chowan Community Health Center Inc CurrentSince Mar 19, 2024 Accepting new patients
Roanoke Chowan Community Health Center Inc Current Accepting new patients
Carolina Pediatrics, PA Past Accepting new patients

Locations

113 Hertford County High Rd
#B
Ahoskie, NC 27910
Phone (252) 209-3375

120 Health Center Dr
Ahoskie, NC 27910
Phone (252) 209-0237

305 Beechwood Blvd
Murfreesboro, NC 27855
Phone (252) 398-3323

Interoperability endpoints

  • Direct secure messaging: shoggard658159@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013079938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COLONY AVE S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103207",
            "telephone_number": "252-332-5041",
            "fax_number": "252-332-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 COLONY AVE S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103207",
            "telephone_number": "252-332-5041",
            "fax_number": "252-332-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGGARD",
        "first_name": "SUSAN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.