Healing Hands Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALING HANDS FAMILY PRACTICE PLLC

Practice address

1003 Woodridge Dr
Lumberton, NC 28358-3328

Phone

(910) 250-2500

Fax

(910) 250-5111

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Andrea Suzette Blackburn, MDNPI 1235333675

Title

Owner

Phone

(910) 250-5100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGJDCD

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Healing Hands Quick Care and Wellness PLLC

  • Family Medicine Physician
  • Lumberton, NC
  • NPI 1730002825
  NPPES parent name

Practitioners 2

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

• Andrea Suzette Blackburn, M.D.

  • Family Medicine Physician
  • Lumberton, NC
  • NPI 1235333675
  Medicare reassignment Care Compare group NPD Authorized official
• Larissa Deese, NP-C

  • Family Nurse Practitioner
  • Red Springs, NC
  • NPI 1629539473
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1093315574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WOODRIDGE DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583328",
            "telephone_number": "910-887-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WOODRIDGE DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583328",
            "telephone_number": "910-250-2500",
            "fax_number": "910-250-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-250-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Lynn Harris
• Joel M Hart, NP
• Ylisha David Hawkins
• Lee Tate Haymon, DDS
• Amy Head, MSW, LCSW
• Healing Hands Quick Care and Wellness PLLC
• Health Horizons Inc (Southeastern Home Medical Equipment)
• Health Horizons, Inc. (Southeastern Palliative Care Program)
• Hear Carolina Audiology Associates Inc (Hear Carolina)
• Larry A Hearne, M.D.

• Family Medicine Physician in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.