Individual provider Active NPI

James Hampson, PA-C

  • Physician Assistant
  • Four Oaks, NC
National Provider Identifier
1164042057
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10607 Issued in NC
Practice address
725 Boyette Road
Four Oaks, NC 27524
Phone
(877) 935-5255
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10607 NC Primary

Addresses

Primary practice location

725 Boyette Road
Four Oaks, NC 27524

Mailing address

725 Boyette Road
Four Oaks, NC 27524

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
I20250106000419 NC Practitioner - Physician Assistant 4587192554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc CurrentSince Nov 13, 2024 Accepting new patients
Kidzcare Pediatrics, PC PastSince Sep 1, 2020 Accepting new patients
Tri County Community Health Council Inc Past Accepting new patients
Kidzcare Pediatrics, PC PastSince Sep 1, 2020 Accepting new patients

Locations

3331 Easy St
Dunn, NC 28334

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1164042057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOYETTE ROAD",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "27524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOYETTE ROAD",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "27524",
            "telephone_number": "877-935-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPSON",
        "first_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Four Oaks, NC

Sources for this page

Verify at the official NPI Registry.