Individual provider Active NPI

Cherrie Crowder Hart, MD

  • Family Medicine Physician
  • Greenville, NC
National Provider Identifier
1073774295
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013-02046 Issued in NC
Practice address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone
(252) 413-6202
Fax
(252) 758-8333
NPI assigned
Jun 20, 2008
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31000 SC
Family Medicine Physician 207Q00000X 2013-02046 NC Primary

Addresses

Primary practice location

1850 W Arlington Blvd
Greenville, NC 27834-5704

Mailing address

1400 Sullivan Dr
Greenville, NC 27834-9007
Phone (252) 931-5686

Other practice location 1

4796 Old Tar Rd
Winterville, NC 28590-9752
Phone (252) 353-4111

Other identifiers 1

IdentifierTypeStateIssuer
310005MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218001890 NC Practitioner - Family Practice 4587794581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of Ny PLLCGroup PAC ID 0446410435, 35 clinicians

Practice addresses (Care Compare)

2575 W 5TH St
Greenville, NC 27834-7813
Phone (252) 830-9100

3331 Tate Boulevard SE
Hickory, NC 28602-1455
Phone (877) 866-7123

6590 Tryon Rd
Cary, NC 27518-7052
Phone (919) 851-8000

801 Pinehurst Ave
Carthage, NC 28327-9338
Phone (910) 947-5155

903 W Main St
Yadkinville, NC 27055-7807
Phone (336) 679-8863

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue935
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of North Carolina Medical, P.C CurrentSince Jul 1, 2023 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Family Medicine CurrentSince Jun 20, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 6, 2014 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1400 Sullivan Dr
Greenville, NC 27834
Phone (252) 931-5686

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 3

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1073774295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SULLIVAN DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278349007",
            "telephone_number": "252-931-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-413-6202",
            "fax_number": "252-758-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4796 Old Tar Rd",
            "address_purpose": "LOCATION",
            "city": "Winterville",
            "state": "NC",
            "postal_code": "285909752",
            "country_code": "US",
            "telephone_number": "252-353-4111",
            "fax_number": "252-353-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "CHERRIE",
        "middle_name": "CROWDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "31000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2013-02046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310005",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.