Individual provider Active NPI

Jamie Hawley

  • Primary Care Nurse Practitioner
  • Denver, NC
National Provider Identifier
1366254146
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5021469 Issued in NC
Practice address
275 N NC 16 Business Hwy Ste 104
Denver, NC 28037-3002
Phone
(704) 489-3440
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5021469 NC Primary

Addresses

Primary practice location

275 N NC 16 Business Hwy Ste 104
Denver, NC 28037-3002

Mailing address

3331 3Rd Street Dr NW
Hickory, NC 28601-1021
Phone (828) 726-7261

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415000315 NC Practitioner - Nurse Practitioner 2466977269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Equity Health Services, PLLC 9 clinicians

Practice addresses (Care Compare)

275 N NC 16 Business Hwy
Suite 104
Denver, NC 28037-3002
Phone (704) 489-3440

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Salisbury, NC, CCN 347325
  • Well Care Home Health of the Triad Inc Home health agency, Advance, NC, CCN 347051
  • Guardian Home Health Home health agency, Hickory, NC, CCN 347085
  • Lake Norman Home Health Home health agency, Mooresville, NC, CCN 347215
  • Bayada Home Health Care, Inc Home health agency, Greensboro, NC, CCN 347211
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5021469NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Equity Health Services, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

275 N NC 16 Business Hwy
Ste 104
Denver, NC 28037
Phone (704) 340-5852

3407 W Wendover Ave
Ste D
Greensboro, NC 27407
Phone (336) 589-1223

Organizations & group practices 1

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 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": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1366254146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 3RD STREET DR NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011021",
            "telephone_number": "828-726-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N NC 16 BUSINESS HWY STE 104",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280373002",
            "telephone_number": "704-489-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5021469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.