Individual provider Active NPI

Teresa B Hopkins, FNP

  • Family Nurse Practitioner
  • Lake Waccamaw, NC
National Provider Identifier
1366517872
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201040 Issued in NC
Practice address
107 Church St
Lake Waccamaw, NC 28450-1909
Phone
(910) 646-2107
Fax
(910) 646-2252
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201040 NC Primary

Addresses

Primary practice location

107 Church St
Lake Waccamaw, NC 28450-1909

Mailing address

107 Church St
Lake Waccamaw, NC 28450-1909
Phone (910) 646-2107

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
I20090808000090 NC Practitioner - Nurse Practitioner 2264585215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

208 Mercer Mill Rd
Elizabethtown, NC 28337-3938
Phone (910) 862-8181

2702 Farrell Rd
Sanford, NC 27330-6505
Phone (919) 776-9602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201040NCMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 9, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Dec 18, 2023 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Dec 18, 2023 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Dec 18, 2023 Accepting new patients

Locations

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

2702 Farrell Rd
Sanford, NC 27330
Phone (919) 608-9123

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

200 Flowers Pridgen Dr
Whiteville, NC 28472
Phone (910) 640-2181

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1366517872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHURCH ST",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284501909",
            "telephone_number": "910-646-2107",
            "fax_number": "910-646-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH ST",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284501909",
            "telephone_number": "910-646-2107",
            "fax_number": "910-646-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "TERESA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Waccamaw, NC

Sources for this page

Verify at the official NPI Registry.