Active NPI
Hale Stephenson, MD
- Obstetrics & Gynecology Physician
- Greenville, NC
National Provider Identifier
1174580393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 34745
- Practice address
- 101 Bethesda Dr
Greenville, NC 27834-7201 - Phone
- (252) 758-4181
- Fax
- (252) 758-2603
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34745 | NC | Primary |
Addresses
Primary practice location
101 Bethesda Dr
Greenville, NC 27834-7201
Mailing address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8979725 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100112000837 | NC | Practitioner - Obstetrics/Gynecology | 8426199464 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34745 | NC | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1174580393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-6101",
"fax_number": "252-752-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BETHESDA DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347201",
"telephone_number": "252-758-4181",
"fax_number": "252-758-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "HALE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "34745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979725",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
- Step by Step 'Taking Steps Toward Healthier Living' Inc
- Kristen Stephens-Hawks
- Tonya Stephens-Price
- Brittany Stephenson
- Elise Loraine Stephenson, M.D.
- Kenya Stephenson, OWNER
- Kimberly Miskow Stepney
- Tiya Monique Stepney
- Stepping Stones Therapeutic Services for Children and Adults, PLLC
- Steps to Higher Heights
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.