Derrick Haymon

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

150 Pine Needles Dr
Lillington, NC 27546-8035

Phone

(910) 580-5440

NPI assigned

Jan 20, 2021

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Blessed Sales Group LLC

  • Home Health Agency
  • Lillington, NC
  • NPI 1902578495
  NPD

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1225628555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PINE NEEDLES DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468035",
            "telephone_number": "910-580-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PINE NEEDLES DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275468035",
            "telephone_number": "910-580-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMON",
        "first_name": "DERRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9105805440",
            "affiliation": "N",
            "address_1": "150 Pine Needles Dr",
            "city": "Lillington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275468035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dynamicessentialsllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "150 Pine Needles Dr",
            "city": "Lillington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275468035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harnett Healthcare Group, LLC
• Leah Ruth Harp, RN
• Jamie Harding Hart, PA-C
• Dana Duane Harthun, CADC
• Tyler Hassinger, PT, DPT
• Aydan Luke Heavner
• Donna Hellowell
• Carmen Hendricks, PA
• Henry W. Davis Jr., DDS III PLLC
• Judy Carol Herrin, PHARM.D

• Prosthetic/Orthotic Supplier in Lillington, NC
• Providers in Lillington, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.