Hampstead Medical Center, PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

26415 Issued in NC

Legal business name

HAMPSTEAD MEDICAL CENTER, PC

Practice address

14980 US Highway 17 N
Hampstead, NC 28443-3390

Phone

(910) 270-0282

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shyam Lal Garg, M.D.NPI 1063587095

Title

President

Phone

(910) 270-2722

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Hampstead Medical Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hampstead Medical CNTR PC

  • Community/Retail Pharmacy
  • Hampstead, NC
  • NPI 1912912510
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shyam Lal Garg, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hampstead, NC
  • NPI 1063587095
  Medicare reassignment NPD Authorized official
• Connie Deann Hinnant, FNP

  • Nurse Practitioner
  • Leland, NC
  • NPI 1568487965
  NPD (past)
• Regina Marie Jensen, MD

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1023089851
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235286204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14980 US HIGHWAY 17 N",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433390",
            "telephone_number": "910-270-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14980 US HIGHWAY 17 N",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433390",
            "telephone_number": "910-270-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPSTEAD MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "LAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-270-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "26415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NORTH CAROLINA",
            "identifier": "34555",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934555",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conner Haberl
• Evan Wells Hairr, PT
• Hamilton, Clark, Otero and Associates
• Hampstead Family Pharmacy
• Hampstead Internal Medicine PA
• Hampstead Medical CNTR PC
• Hampstead Optometry PA
• Hampstead Optometry PA
• Hampstead Physical Therapy
• Ava Hamzawsky

• Geriatric Medicine (Internal Medicine) Physician in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.