Active NPI
Del Hawk, AUD
- Audiologist
- Mooresville, NC
National Provider Identifier
1154742336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1626
- Practice address
- 140 Gateway Blvd
Mooresville, NC 28117-5540 - Phone
- (704) 664-9638
- Fax
- (704) 664-1859
- NPI assigned
- Dec 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1626 | NC | Primary |
Addresses
Primary practice location
140 Gateway Blvd
Mooresville, NC 28117-5540
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Tiffany Blvd
Suite 101
Rocky Mount, NC 27804-1807
Phone (248) 528-2116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1626 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stinson Mobile Aud NC PLLC | Audiologist | Current | Accepting new patients |
Locations
4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483
347 Hillsborough St
Raleigh, NC 27603
800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804
Interoperability endpoints
- del.hawk.p13@direct.360care.nextgenshare.com
Organizations & group practices 1
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.
-
- Audiologist
- Rocky Mount, NC
- NPI 1912472945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1154742336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 GATEWAY BLVD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175540",
"telephone_number": "704-664-9638",
"fax_number": "704-664-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWK",
"first_name": "DEL",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-14",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "1626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.