Individual provider Active NPI

Dain Vines, MD

  • Family Medicine Physician
  • Hillsborough, NC
National Provider Identifier
1306959614
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200001017 Issued in NC
Practice address
400 Millstone Drive
Hillsborough, NC 27278-9007
Phone
(919) 245-3247
Fax
(919) 732-3864
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200001017 NC Primary

Addresses

Primary practice location

400 Millstone Drive
Hillsborough, NC 27278-9007

Mailing address

P O Box 1119
Hillborough, NC 27278-1119
Phone (919) 245-3247

Other identifiers 1

IdentifierTypeStateIssuer
8911275RMedicaidNC

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
I20040317000419 NC Practitioner - Family Practice 5395635072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Millstone Dr
Suite 100
Hillsborough, NC 27278-9007
Phone (919) 245-3247

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200001017NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Centered Healthcare, PA Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Comprehensive Family Medicine PA Family Medicine Past Accepting new patients

Locations

400 Millstone Dr
Hillsborough, NC 27278
Phone (919) 245-3247

400 Millstone Dr
Ste 100
Hillsborough, NC 27278
Phone (919) 245-3247

Interoperability endpoints

  • Direct secure messaging: dain.vines.1@33510.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19391/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dain.vines.1@19391.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1306959614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1119",
            "city": "HILLBOROUGH",
            "state": "NC",
            "postal_code": "272781119",
            "telephone_number": "919-245-3247",
            "fax_number": "919-732-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MILLSTONE DRIVE",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789007",
            "telephone_number": "919-245-3247",
            "fax_number": "919-732-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINES",
        "first_name": "DAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200001017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911275R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

Verify at the official NPI Registry.