Individual provider Active NPI

Nicole Kristine Groves, MD

  • Pediatrics Physician
  • Hendersonville, NC
National Provider Identifier
1295718708
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2011-01283 Issued in NC
Practice address
50 Hospital Drive Ste 5D
Hendersonville, NC 28792-1700
Phone
(828) 650-8032
Fax
(828) 650-8033
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 43159 MN
Pediatrics Physician 208000000X 2011-01283 NC Primary

Addresses

Primary practice location

50 Hospital Drive Ste 5D
Hendersonville, NC 28792-1700

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616

Other identifiers 2

IdentifierTypeStateIssuer
34217700MedicaidWI
076318700MedicaidMN

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
I20111110000595 NC Practitioner - Pediatric Medicine 8325944770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-01283NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc. CurrentSince Jan 1, 2020 Accepting new patients
Mission Hospitals Inc Current Accepting new patients
Fletcher Hospital Inc CurrentSince Jan 1, 2020 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
French Broad Pediatric Associates, PLLC Pediatrics CurrentSince Feb 1, 2015 Accepting new patients
Sourwood Pediatrics, PLLC Pediatrics Current Accepting new patients

Locations

40 N Merrimon Ave
Ste 117
Asheville, NC 28804
Phone (828) 348-8232

50 Hospital Dr
Ste 5D
Hendersonville, NC 28792
Phone (828) 650-8032

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5610/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicole.groves@1038926177304580.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1295718708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DRIVE STE 5D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287921700",
            "telephone_number": "828-650-8032",
            "fax_number": "828-650-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "NICOLE",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "43159",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2011-01283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34217700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076318700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.