Individual provider Active NPI

Laura Brooke Lawrence Hata, MD

  • Pediatrics Physician
  • Newton, NC
National Provider Identifier
1275544215
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0400538 Issued in NC
Practice address
3975 Robinson Rd
Newton, NC 28658
Phone
(828) 466-0466
Fax
(828) 466-8862
NPI assigned
Aug 11, 2006
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0400538 NC Primary

Addresses

Primary practice location

3975 Robinson Rd
Newton, NC 28658

Mailing address

3975 Robinson Rd
Newton, NC 28658-9715
Phone (828) 466-0466

Other identifiers 1

IdentifierTypeStateIssuer
89137ABMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bhata@carolinacaring.org

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
I20040723001076 NC Practitioner - Pediatric Medicine 1153301627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Duke University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Carolina Caring Serious Illness LLCGroup PAC ID 1052846516, 27 clinicians

Practice addresses (Care Compare)

3975 Robinson Rd
Newton, NC 28658-9715
Phone (828) 466-0466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0400538NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Caring Serious Illness, LLC CurrentSince Oct 1, 2024 Accepting new patients
Unifour Pediatrics, PA Pediatrics Past Accepting new patients

Locations

3975 Robinson Rd
Newton, NC 28658
Phone (828) 466-0466

Organizations & group practices 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1275544215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589715",
            "telephone_number": "828-466-0466",
            "fax_number": "828-466-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "28658",
            "telephone_number": "828-466-0466",
            "fax_number": "828-466-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATA",
        "first_name": "LAURA BROOKE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "0400538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137AB",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhata@carolinacaring.org",
            "affiliation": "N",
            "address_1": "3975 Robinson Rd",
            "city": "Newton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

Verify at the official NPI Registry.