Organization Active NPI

Hamlet Podiatry, PC

  • Podiatrist
  • Hamlet, NC
National Provider Identifier
1053534446
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
341 Issued in NC
Legal business name
HAMLET PODIATRY, PC
Practice address
16 Williams Street
Hamlet, NC 28345-2526
Phone
(910) 582-0007
Fax
(910) 582-8070
NPI assigned
Apr 11, 2007
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Mr. Rembert Alphonso Crawford, DPMNPI 1578695573
Title
Physician/Owner
Phone
(910) 582-0007

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
Podiatrist 213E00000X 341 NC Primary

Addresses

Primary practice location

16 Williams Street
Hamlet, NC 28345-2526

Mailing address

P.O. Box 2328
Rockingham, NC 28380-8328
Phone (910) 582-0007

Other identifiers 4

IdentifierTypeStateIssuer
890803MMedicaidNC
08025OtherNCBCBS
5950762MedicaidNC
0803MMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000301 NC Part B Supplier - Clinic/Group Practice 7113994526 Receives reassigned benefits from 1 practitioner
Practice locations: Hamlet, NC

National Provider Directory

National Provider Directory

Locations

16 Williams St
Hamlet, NC 28345
Phone (910) 582-0007

16 Williams St
Ste B
Hamlet, NC 28345
Phone (910) 582-0007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1053534446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2328",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283808328",
            "telephone_number": "910-582-0007",
            "fax_number": "910-582-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WILLIAMS STREET",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283452526",
            "telephone_number": "910-582-0007",
            "fax_number": "910-582-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLET PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "REMBERT",
        "authorized_official_middle_name": "ALPHONSO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "910-582-0007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890803M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08025",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950762",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.