Caldwell Memorial Hospital, Inc.
Organization Active NPI Family Medicine Physician · Hudson, NC
NPI 1295740934 · NPPES record last updated Jan 28, 2026
Key facts
- NPI
- 1295740934
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CALDWELL MEMORIAL HOSPITAL, INC.
- Practice address
- 270 Pine Mountain Rd
Suite 2
Hudson, NC 28638-2605 - Phone
- (828) 757-6330
- Fax
- (828) 757-6349
- NPI assigned
- Jul 30, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CALDWELL MEMORIAL HOSPITAL, INC.
Authorized official
- Name
- Karen Shadowens
- Title
- Cfo
- Phone
- (828) 757-5100
Other NPIs on the same Medicare enrollment 26
Practitioners 56
-
Sally Mae Baird, NP-C
-
Katrina Brookshire Bell, FNP-C
-
Jamie Millicent Boone, FNP-C
-
Brooke Anderson Bost, PA-C
-
Katie Brown, NP-C
-
Susanna Joy Calhoun, RDN, LDN
-
Raegan McNeil Church, FNP-C
-
Karen Clarke, NP
-
Emily Combs, FNP-BC
-
David Jacob Fair, FNP-C
-
Amanda Goble Franks, LCSW
-
Aaron Goodwin, MD
-
Hunter Atkinson Hardaway, PA-C
-
Wendy Johnston Hartsoe, FNP-C
-
Robert Daniel Horner, APRN, FNP
-
Lauren Winkler Isenhour, AGACNP-BC
-
Justin Jonas, NP
-
David Kays, D.O.
-
Michael Joseph Kilby, FNP-BC
-
Kristy Loftis, FNP-BC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0919555 | Anderson Medical Park | Certificate of waiver | Nov 4, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116000355 | NC | Part B Supplier - Clinic/Group Practice | 5395646970 |
Receives reassigned benefits from 325 practitioners 26 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lenoir, NC; Chapel Hill, NC; Blowing Rock, NC; Granite Falls, NC; Hickory, NC; Hudson, NC |
National Provider Directory
- Part of
- Caldwell Mem Hosp
Locations
270 Pine Mountain Rd
Ste 2
Hudson, NC 28638
Phone (828) 757-6330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
270 Pine Mountain Rd
Suite 2
Hudson, NC 28638-2605
Mailing address
321 Mulberry St SW
Medical Staff Services
Lenoir, NC 28645-5720
Phone (828) 757-5965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0211Y | Other | NC | BCBS |
| 890211Y | Medicaid | NC | |
| CC9094 | Other | NC | RR MCR |
Other names
- Anderson Medical Park
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Hudson, NC
- Charles Franklin Brinkley Sr.
- Caldwell Discount Drug Company, Inc
- Caldwell Medical Equipment and Supplies Inc.
- Caldwell Memorial Hospital, Inc
- Caldwell Memorial Hospital, Inc.
- Caldwell Memorial Hospital, Inc.
- Caldwell Pharmacy LLC
- Sarah Wise Chester
- Amanda Marie Chiota
- Jennifer Whisnant Church
All providers in Hudson, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.