Carl Douglas Hurd, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5014813 Issued in NC

Practice address

14057 US Highway 17 Ste 200
Hampstead, NC 28443-3793

Phone

(910) 821-1418

Fax

(866) 860-0997

NPI assigned

Aug 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Coastal Ridge Health Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampstead, NC
  • NPI 1487133351
  Medicare reassignment NPD
• Goshen Medical Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC, Psychiatry

  Medicare reassignment NPD
• CBB Brain Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Leland, NC
  • NPI 1275410805
  NPD Authorized official
• Integrative Wellness Partners, Inc

  • Non-Pharmacy Dispensing Site
  • Dunn, NC
  • NPI 1104592799
  NPD Authorized official
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Warsaw, NC
  • NPI 1457477820
  NPD
• Lifesource of North Carolina

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1811286156

  Psychiatry

  NPD
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Psychiatry

  NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1346914256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 HANSA DR",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284295863",
            "telephone_number": "706-830-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14057 US HIGHWAY 17 STE 200",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433793",
            "telephone_number": "910-821-1418",
            "fax_number": "866-860-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "CARL",
        "middle_name": "DOUGLAS",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014813",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Giffen Hood, BSN.MPH,FNP
• McKenzi Rose Hopkins, LCSWA
• Kayla Joy Hoyt
• Holly Anne Hudson
• Jennifer Leigh Huff, LCSW
• Lisa Ann Iman, M.S., CCC-SLP
• Innate Health Family Chiropractic & Wellness
• Island Family Medicine, PLLC
• Darrian Nicole Ivey
• Yoneida Izaguirre

• Psychiatric/Mental Health Nurse Practitioner in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.