Individual provider Active NPI

Angela Hawkes, M.D.

  • Rheumatology Physician
  • Greensboro, NC
National Provider Identifier
1124206388
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2010-00331 Issued in NC
Practice address
2835 Horse Pen Creek Rd
Suite 101
Greensboro, NC 27410-9700
Phone
(336) 617-6568
Fax
(336) 617-6660
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2010-00331 NC Primary
Internal Medicine Physician 207R00000X MD036609 DC

Addresses

Primary practice location

2835 Horse Pen Creek Rd
Suite 101
Greensboro, NC 27410-9700

Mailing address

2835 Horse Pen Creek Rd
Suite 101
Greensboro, NC 27410-9700
Phone (336) 617-6568

Other identifiers 3

IdentifierTypeStateIssuer
5913855MedicaidNC
9815389OtherNCAETNA
15720OtherNCBCBSNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000713 NC Practitioner - RheumatologyPractitioner - Internal Medicine 8123172178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Rheumatology PAGroup PAC ID 6406147768, 4 clinicians

Practice addresses (Care Compare)

2835 Horse Pen Creek Rd
Suite 101
Greensboro, NC 27410-9700
Phone (336) 617-6568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036609DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Rheumatology, P.a. Rheumatology CurrentSince Aug 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2835 Horse Pen Creek Rd
#101
Greensboro, NC 27410
Phone (336) 605-0190

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1124206388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 HORSE PEN CREEK RD",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109700",
            "telephone_number": "336-617-6568",
            "fax_number": "336-617-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 HORSE PEN CREEK RD",
            "address_2": "SUITE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109700",
            "telephone_number": "336-617-6568",
            "fax_number": "336-617-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2010-00331",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD036609",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913855",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9815389",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "15720",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.