Individual provider Active NPI

Sanford William Hawkins-Rivers, M.D.

  • Surgery Physician
  • Dunn, NC
National Provider Identifier
1194749648
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200501926 Issued in NC
Practice address
803 Tilghman Dr
Suite 200
Dunn, NC 28334-5509
Phone
(910) 892-1550
Fax
(910) 892-1992
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 200501926 NC Primary
Surgery of the Hand (Surgery) Physician 2086S0105X 200501926 NC

Addresses

Primary practice location

803 Tilghman Dr
Suite 200
Dunn, NC 28334-5509

Mailing address

803 Tilghman Dr
Suite 200
Dunn, NC 28334-5509
Phone (910) 892-1550

Other identifiers 4

IdentifierTypeStateIssuer
5903407MedicaidNC
1414KOtherNCBC/BS
193562OtherNCMEDCOST
2005-01926OtherNCNC LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000024 NC Practitioner - General SurgeryPractitioner - Hand Surgery 0345231056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Hand Surgery
Education
Michigan State University College of Human Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

225 Brightwater Dr
Suite 220
Lillington, NC 27546-5156
Phone (910) 304-1247

Hospital & facility affiliations

  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue76
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200501926NCMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Surgery CurrentSince Jan 1, 2015 Accepting new patients
Cape Fear Valley Health Medical Group LLC Surgery CurrentSince Oct 28, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Oct 28, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 1, 2015 Accepting new patients
Wake Specialty Physicians LLC Past Accepting new patients
Wake Specialty Physicians, LLC Surgery Past Accepting new patients
Village Surgical Associates PA Past Accepting new patients

Locations

803 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (910) 892-1091

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1841 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2626

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

225 Brightwater Dr
Ste 220
Lillington, NC 27546
Phone (910) 304-1247

Interoperability endpoints

  • Direct secure messaging: shawkinsrivers10258@capefearvalley.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1194749648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 TILGHMAN DR",
            "address_2": "SUITE 200",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345509",
            "telephone_number": "910-892-1550",
            "fax_number": "910-892-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 TILGHMAN DR",
            "address_2": "SUITE 200",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345509",
            "telephone_number": "910-892-1550",
            "fax_number": "910-892-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-RIVERS",
        "first_name": "SANFORD",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200501926",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NC",
            "license": "200501926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903407",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1414K",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "193562",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "2005-01926",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.