Individual provider Active NPI

Harvey Hugh Wolf, MD

  • Internal Medicine Physician
  • Southern Pines, NC
National Provider Identifier
1215998760
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39901 Issued in NC
Practice address
10935 US 15501 Hwy
Southern Pines, NC 28387
Phone
(910) 692-5555
Fax
(910) 692-8581
NPI assigned
Mar 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39901 NC Primary

Addresses

Primary practice location

10935 US 15501 Hwy
Southern Pines, NC 28387

Mailing address

10935 US 15501 Hwy
Southern Pines, NC 28387
Phone (910) 692-5555

Other identifiers 2

IdentifierTypeStateIssuer
8988814MedicaidNC
890215NMedicaidNC

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
I20100816000530 NC Practitioner - Internal Medicine 7315071198 Reassigns benefits to 1 organization
Practice locations: Southern Pines, NC

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G&G Healthcare, PC CurrentSince Jul 1, 2023 Accepting new patients
G&G Healthcare,PC Whiteville CurrentSince Jul 1, 2023 Accepting new patients
G&G Healthcare, PC Cerro Gordo Past Accepting new patients
Carolina Health Services, Inc. Past Accepting new patients

Locations

7490 Andrew Jackson Hwy SW
Cerro Gordo, NC 28430
Phone (910) 654-2050

326 Columbus Corners Dr
Whiteville, NC 28472
Phone (910) 642-2050

805 S Madison St
Whiteville, NC 28472
Phone (910) 316-4352

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215998760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 US 15501 HWY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-5555",
            "fax_number": "910-692-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 US 15501 HWY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-5555",
            "fax_number": "910-692-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "HARVEY",
        "middle_name": "HUGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "39901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988814",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890215N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.