NPIMap

Organization Active NPI

Primary Care Providers & Beyond, PLLC

  • Primary Care Nurse Practitioner
  • Concord, NC
National Provider Identifier
1023788510
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIMARY CARE PROVIDERS & BEYOND, PLLC
Practice address
1000 Simplicity Rd
Concord, NC 28025-7838
Phone
(704) 791-8120
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Redella B HedrickNPI 1467705467
Title
NP
Phone
(704) 791-8120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1000 Simplicity Rd
Concord, NC 28025-7838

Mailing address

4311 School House CMNS Ste 171
Harrisburg, NC 28075-7510
Phone (704) 436-4078

Other identifiers 2

IdentifierTypeStateIssuer
5005830OtherNCNC NP LICENSE NUMBER
NC9579D408MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211117003238 NC Part B Supplier - Clinic/Group Practice 7214326958 Receives reassigned benefits from 4 practitioners
Practice locations: Harrisburg, NC
O20260615003189 AZ Part B Supplier - Clinic/Group Practice 7214326958 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1023788510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 SCHOOL HOUSE CMNS STE 171",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757510",
            "telephone_number": "704-436-4078",
            "fax_number": "980-495-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SIMPLICITY RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280257838",
            "telephone_number": "704-791-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PROVIDERS & BEYOND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "REDELLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "704-791-8120"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC NP LICENSE NUMBER",
            "identifier": "5005830",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC9579D408",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.