NPIMap

Individual provider Active NPI

Cassandra Marie Hornbuckle, D.O.

  • Obstetrics & Gynecology Physician
  • North Wilkesboro, NC
National Provider Identifier
1336347079
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2014-00003 Issued in NC
Practice address
1405 Willow LN
North Wilkesboro, NC 28659-3551
Phone
(336) 667-2232
Fax
(336) 667-2235
NPI assigned
Jul 4, 2007
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2014-00003 NC Primary

Addresses

Primary practice location

1405 Willow LN
North Wilkesboro, NC 28659-3551

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 667-2232

Other practice location 1

110 Professional Park
Oxford, NC 27565-2576
Phone (919) 693-6541

Other practice location 2

Medical Center Blvd
Winston Salem, NC 27157-2576
Phone (336) 716-4039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717002417 NC Practitioner - Obstetrics/Gynecology 4486870359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8760

1405 Willow LN
North Wilkesboro, NC 28659-3551
Phone (336) 667-2232

1917 W Park Drivce
N Wilkesboro, NC 28659-3506
Phone (336) 667-3762

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-00003NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 1, 2022 Accepting new patients
Cary Physicians Primary Care PLLC CurrentSince Dec 1, 2024 Accepting new patients
Triangle Women's Center PC Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Granville Health System CurrentSince Jan 6, 2020 Accepting new patients
Granville Health System CurrentSince Jan 6, 2020 Accepting new patients
Granville Health System Current Accepting new patients
Granville Health System Current Accepting new patients

Locations

115 Parkway Office Ct
Ste 104
Cary, NC 27518
Phone (919) 342-5383

1614 NC Highway 56
Creedmoor, NC 27522
Phone (919) 528-7171

1405 Willow Ln
North Wilkesboro, NC 28659
Phone (336) 667-2232

110 Professional Park
Oxford, NC 27565
Phone (919) 693-6541

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: chornbuckle2754907@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/21288/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 6

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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1336347079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-667-2232",
            "fax_number": "336-667-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WILLOW LN",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593551",
            "telephone_number": "336-667-2232",
            "fax_number": "336-667-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Professional Park",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652576",
            "country_code": "US",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271572576",
            "country_code": "US",
            "telephone_number": "336-716-4039",
            "fax_number": "336-716-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNBUCKLE",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2014-00003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.