NPIMap

Organization Active NPI

Novant Health

  • Primary Care Nurse Practitioner
  • Kernersville, NC
National Provider Identifier
1275023384
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
NOVANT HEALTH
Practice address
111 Gateway Center Dr
Kernersville, NC 27284-2999
Phone
(336) 996-2173
NPI assigned
May 14, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Jeremy Hutson, MD
Title
Supervising Physician
Phone
(336) 996-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X NC Primary

Addresses

Primary practice location

111 Gateway Center Dr
Kernersville, NC 27284-2999

Mailing address

3233 Sparrowhawk Dr
High Point, NC 27265-9548
Phone (336) 688-4929

Other names 2

  • Novant Health Medical Group Other name
  • Novant Health Urgent Care & Occupational Medicine- Kernersville Other name

National Provider Directory

National Provider Directory
Tax ID family
Novant Health2 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.

Interoperability endpoints

  • FHIR API: https://epicproxy.et0798.epichosted.com/APIProxyPRD/api/FHIR/R4/

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1275023384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 SPARROWHAWK DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659548",
            "telephone_number": "336-688-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GATEWAY CENTER DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842999",
            "telephone_number": "336-996-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HUTSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "336-996-2173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Novant Health Urgent Care & Occupational Medicine- Kernersville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.