Individual provider Active NPI

Aimee L Cavendish, MD

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1316113160
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009-01488 Issued in NC
Practice address
221 13TH Avenue PL NW Ste 101
Hickory, NC 28601-2596
Phone
(828) 322-8484
NPI assigned
May 1, 2008
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LL29182 SC
Family Medicine Physician 207Q00000X 2009-01488 NC Primary

Addresses

Primary practice location

221 13TH Avenue PL NW Ste 101
Hickory, NC 28601-2596

Mailing address

221 13TH Avenue PL NW Ste 101
Hickory, NC 28601-2596
Phone (828) 322-8484

Other practice location 1

160 River Bend Dr Ste A
Granite Falls, NC 28630-9371
Phone (828) 757-5060

Other identifiers 2

IdentifierTypeStateIssuer
154JHOtherNCNC BLUE CROSS BLUE SHIELD
5913137MedicaidNC

Other names 1

  • Dr. Aimee Disharoon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acavendish223387@direct.UNC.nchie.net Direct

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
I20091012000175 NC Practitioner - Family Practice 8325184047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

160 River Bend Dr
Suite a
Granite Falls, NC 28630-9371
Phone (828) 757-5060

30 13TH Ave NW
Hickory, NC 28601-3765
Phone (828) 324-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL29182SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Sep 29, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc. Family Medicine CurrentSince Sep 29, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Jun 20, 2025 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc Family Medicine Past Accepting new patients

Locations

160 River Bend Dr
Ste A
Granite Falls, NC 28630
Phone (828) 757-5042

30 13th Ave NW
Hickory, NC 28601
Phone (828) 324-0100

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1316113160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 13TH AVENUE PL NW STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012596",
            "telephone_number": "828-322-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 13TH AVENUE PL NW STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012596",
            "telephone_number": "828-322-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 River Bend Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Granite Falls",
            "state": "NC",
            "postal_code": "286309371",
            "country_code": "US",
            "telephone_number": "828-757-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVENDISH",
        "first_name": "AIMEE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL29182",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-01488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS BLUE SHIELD",
            "identifier": "154JH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913137",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acavendish223387@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "160 River Bend Dr Ste A",
            "city": "Granite Falls",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286309371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "DISHAROON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.