Active NPI
June Anne Fawcett-Hardy
- Nurse Practitioner
- Thomasville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5006997
- Practice address
- 1122 Randolph St Ste 110
Thomasville, NC 27360-5730 - Phone
- (336) 481-0739
- Fax
- (336) 481-0738
- NPI assigned
- Jul 16, 2014
- Last updated
- May 1, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5006997 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 5006997 | NC |
Addresses
Primary practice location
1122 Randolph St Ste 110
Thomasville, NC 27360-5730
Mailing address
PO Box 601843
Charlotte, NC 28260-1843
Other practice location 1
364 White Oak St
Asheboro, NC 27203-5434
Phone (336) 625-5151
Other names 1
- Mrs. June Anne Fawcett-Hardy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfawcetthardy719005@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1033 Randolph St
Suite 32
Thomasville, NC 27360-5731
Phone (336) 860-8043
1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 443-6041
50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006997 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med First Immediate Care & Family Practice, PA | Current | Accepting new patients | |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Carolina Medicorp Enterprises, Inc | Nurse Practitioner | Current | Accepting new patients |
| Carolina Medicorp Enterprises, LLC | Current | Accepting new patients |
Locations
9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510
609 Richlands Hwy
Ste 6
Jacksonville, NC 28540
Phone (910) 455-7888
1033 Randolph St
Ste 32
Thomasville, NC 27360
Phone (336) 860-0843
1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433
600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040
Interoperability endpoints
- jfawcetthardy719005@direct.novanthealth.org
- june.hardy.1@1905.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1760950646
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1053503763
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Express Care
- Family Medicine Physician
- Lexington, NC
- NPI 1568709061
Nurse Practitioner
-
dba Novant Health GoHealth Urgent Care
- Urgent Care Clinic/Center
- Asheville, NC
- NPI 1235014796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1114334794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601843",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 RANDOLPH ST STE 110",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273605730",
"telephone_number": "336-481-0739",
"fax_number": "336-481-0738"
}
],
"practiceLocations": [
{
"address_1": "364 White Oak St",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272035434",
"country_code": "US",
"telephone_number": "336-625-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAWCETT-HARDY",
"first_name": "JUNE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5006997",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5006997",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfawcetthardy719005@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1122 Randolph St Ste 110",
"city": "Thomasville",
"state": "NC",
"country_code": "US",
"postal_code": "273605730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JUNE",
"last_name": "FAWCETT-HARDY",
"middle_name": "ANNE",
"prefix": "MRS.",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.