Individual provider Active NPI

Johnathon Hammonds

  • Home Health Agency
  • Lumberton, NC
National Provider Identifier
1104698166
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC7181 Issued in NC
Practice address
325 E 4TH St
Lumberton, NC 28358-5526
Phone
(910) 992-4556
NPI assigned
Oct 24, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC7181 NC Primary

Addresses

Primary practice location

325 E 4TH St
Lumberton, NC 28358-5526

Mailing address

325 E 4TH St
Lumberton, NC 28358-5526
Phone (910) 992-4556

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

State licenses

LicenseStateTypeSpecialty
HC7181NCMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1104698166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 4TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585526",
            "telephone_number": "910-992-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 4TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585526",
            "telephone_number": "910-992-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "JOHNATHON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC7181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.