Active NPI
Jeremy L Hawkins, DDS, PHARMD
- Dentist
- Eden, NC
National Provider Identifier
1104052638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14271
- Practice address
- 113 W Arbor LN
Eden, NC 27288-5305 - Phone
- (336) 623-9143
- Fax
- (336) 627-0948
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16461 | NC | |
| Dentist | 122300000X | 14271 | NC | Primary |
Addresses
Primary practice location
113 W Arbor LN
Eden, NC 27288-5305
Mailing address
PO Box 929
Eden, NC 27289-0929
Phone (336) 623-9143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16461 | NC | MD | Physical Therapist |
| 14271 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbey S. Hawkins, DDS, PA | Current | Accepting new patients |
Locations
113 W Arbor Ln
Eden, NC 27288
Phone (336) 623-9143
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Eden, NC
- NPI 1619578846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1104052638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 929",
"city": "EDEN",
"state": "NC",
"postal_code": "272890929",
"telephone_number": "336-623-9143",
"fax_number": "336-627-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W ARBOR LN",
"city": "EDEN",
"state": "NC",
"postal_code": "272885305",
"telephone_number": "336-623-9143",
"fax_number": "336-627-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JEREMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16461",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "14271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.