Individual provider Active NPI

June Anne Fawcett-Hardy

  • Nurse Practitioner
  • Thomasville, NC
National Provider Identifier
1114334794
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006997 Issued in NC
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 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 Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150325000049 NC Practitioner - Nurse Practitioner 2567789902 Reassigns benefits to 3 organizations

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
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

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

LicenseStateTypeSpecialty
5006997NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Immediate Care & Family Practice, PA CurrentSince Feb 12, 2018 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Mar 4, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Carolina Medicorp Enterprises, Inc Nurse Practitioner CurrentSince Mar 4, 2019 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

  • Direct secure messaging: jfawcetthardy719005@direct.novanthealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.