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Individual provider Active NPI

Mary McEvilly Hedrick, FNP

  • Nurse Practitioner
  • Jonesville, NC
National Provider Identifier
1104688753
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5019518 Issued in NC
Practice address
546 Winston Rd
Jonesville, NC 28642-2217
Phone
(336) 526-0037
NPI assigned
Jan 29, 2024
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5019518 NC Primary
Family Nurse Practitioner 363LF0000X 5019518 NC

Addresses

Primary practice location

546 Winston Rd
Jonesville, NC 28642-2217

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947

Other practice location 1

1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone (336) 716-7435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226001180 NC Practitioner - Nurse Practitioner 0840635256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone (336) 753-1555

3369 Clingman Rd
Ronda, NC 28670-8708
Phone (336) 984-3003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5019518NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Aug 12, 2024 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Multi-Specialty CurrentSince Aug 12, 2024 Accepting new patients
Wake Forest University Health Sciences Multi-Specialty PastSince May 4, 2026 Accepting new patients
Hugh Chatham Memorial Hospital, Inc Multi-Specialty Past Accepting new patients
Hugh Chatham Memorial Hospital Past Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Multi-Specialty Past Accepting new patients

Locations

911 E Atkins St
#D
Dobson, NC 27017
Phone (336) 374-1010

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037

3369 Clingman Rd
Ronda, NC 28670
Phone (336) 984-3003

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1104688753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-713-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WINSTON RD",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286422217",
            "telephone_number": "336-526-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Yadkinville Rd",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282037",
            "country_code": "US",
            "telephone_number": "336-716-7435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "MARY",
        "middle_name": "MCEVILLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019518",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, NC

Sources for this page

Verify at the official NPI Registry.