Thomas James Hatten, D.O.
Individual provider Active NPI Family Medicine Physician · Coats, NC
NPI 1104886928 · NPPES record last updated Jan 25, 2018
Key facts
- NPI
- 1104886928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 200800345 (NC)
- Practice address
- 25 North Johnson Street
Coats, NC 27521 - Phone
- (910) 897-6423
- Fax
- (910) 897-2540
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02613 | KY | MD | Family Medicine Physician |
| 200800345 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Medical Clinics Inc | Past | Accepting new patients |
Interoperability endpoints
- thatten94715@capefearvalley.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02613 | KY | |
| Family Medicine Physician | 207Q00000X | 200800345 | NC | Yes |
Addresses
Primary practice location
25 North Johnson Street
Coats, NC 27521
Mailing address
25 N. Johnson St.
Coats, NC 27521
Phone (910) 897-6423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5911813 | Medicaid | NC |
Other providers in Coats, NC
- Coats Pharmacy Inc
- Coats Pharmacy Inc
- Marta Elisabeth Dahle Bringhurst
- Robert Harold Dixon
- Joanne Duke
- Heritage Counseling and Wellness, PLLC
- Alex Quinton Herring
- Jennifer Odell Hill
- Hometown Direct Primary Care PLLC
- Meghan Clair Hubbard
All providers in Coats, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.