NPIMap

Organization Active NPI

Cone Health

  • Occupational Medicine Clinic/Center
  • Kernersville, NC
National Provider Identifier
1144501925
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
166656 Issued in NC
Legal business name
CONE HEALTH
Practice address
1635 NC Highway 66 S Ste 145
Kernersville, NC 27284-3855
Phone
(336) 832-3600
Fax
(336) 832-3611
NPI assigned
Sep 7, 2011
Last updated
Sep 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mary Ruth Hunt, MD
Title
Medical Director
Phone
(336) 832-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 166656 NC Primary

Addresses

Primary practice location

1635 NC Highway 66 S Ste 145
Kernersville, NC 27284-3855

Mailing address

413 Aberdeen Ter
Greensboro, NC 27403-1818
Phone (336) 275-9646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144501925. Details of each certification follow.

  • CCN 346668 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 346668

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CONE HEALTH OPT REHAB AT MEDCENTER KERNERSVILLE
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 14, 2014
Last certification
Apr 18, 2018
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
1635 NC Highway 66 S, Suite 55
Kernersville, NC 27284

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1056757Cone Health Primary Care1635 NC Hwy 66 South Ste 210, Kernersville, NC 27284Certificate of waiverJul 24, 2028
34D2285497Cone Health Heartcare at Kernersville1635 NC Hwy 66 South Suite 155, Kernersville, NC 27284Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Professional Rehab Serv39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Interoperability endpoints

  • FHIR API: https://epsoap.conehealth.com/FHIRProxy/api/FHIR/R4/

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1144501925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 ABERDEEN TER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031818",
            "telephone_number": "336-275-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NC HIGHWAY 66 S STE 145",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843855",
            "telephone_number": "336-832-3600",
            "fax_number": "336-832-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-832-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NC",
            "license": "166656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.