Robert Lee Hollingsworth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

100599 Issued in NC

Practice address

2170 Midland Rd
Southern Pines, NC 28387-2999

Phone

(910) 295-2100

Fax

(910) 295-3625

NPI assigned

Dec 5, 2005

Last updated

Apr 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Robert L Hollingsworth Other name

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Eye Associates IncGroup PAC ID 0446245864, 39 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.76 of 100Reported as group

Quality

87.45

Promoting interoperability

97

Improvement activities

40

Cost

70.93

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.hollingsworth@direct.carolinaeye.nextgenshare.com

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.

• Carolina Eye Associates Inc

  dba Carolina Eye Associates PA

  • Ophthalmology Physician
  • Dunn, NC
  • NPI 1861655714
  Medicare reassignment Care Compare group
• Red Springs Family Medicine Clinic, PA

  • Rural Health Clinic/Center
  • Red Springs, NC
  • NPI 1396771564
  NPD Authorized official
• Carolina Eye Associates Inc

  dba Carolina Eye Associates PA

  • Optometrist
  • Raeford, NC
  • NPI 1093305732
  NPD
• Carolina Eye Associates Inc

  dba Carolina Eye Associates PA

  • Ophthalmology Physician
  • Southern Pines, NC
  • NPI 1245211333
  NPD
• Carolina Eye Associates Inc

  dba Carolina Eye Associates PA

  • Optometrist
  • Asheboro, NC
  • NPI 1598915076
  NPD
• Southeastern Regional Medical Center

  dba Southeastern Hospitalists

  • Hospitalist Physician
  • Lumberton, NC
  • NPI 1659531952
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1164406922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872999",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872999",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Foust St Ste C",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035586",
            "country_code": "US",
            "telephone_number": "336-629-1451",
            "fax_number": "336-629-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Hunt Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283344987",
            "country_code": "US",
            "telephone_number": "910-891-4129",
            "fax_number": "910-891-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582982",
            "country_code": "US",
            "telephone_number": "910-370-0100",
            "fax_number": "910-370-0161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 Fordham Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-485-2020",
            "fax_number": "910-485-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283795221",
            "country_code": "US",
            "telephone_number": "910-997-4489",
            "fax_number": "910-895-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100599",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8101220",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.hollingsworth@direct.carolinaeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2170 Midland Rd",
            "city": "Southern Pines",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283872999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "HOLLINGSWORTH",
            "middle_name": "L",
            "prefix": "MR.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cody Steven Hicks, OD
• Lisa Ann Hirn, DPT
• Elizabeth McNeill Hodgin, PNP
• Kelsey Hoff, BT
• Celeste Holler, PHARMD
• Homechoice of the Sandhills, LLC
• Paul E Hood, DDS
• Mamata Hoogar, DMD
• Jeffrey Scott Hooker
• Katherine Ann Hoover, PT

• Physician Assistant in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.