Active NPI
Stephen Michael Delellis, PA-C
- Physician Assistant
- Hope Mills, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103216
- Practice address
- 3622 N Main St
Hope Mills, NC 28348-1937 - Phone
- (910) 423-7771
- Fax
- (910) 423-4177
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103216 | NC | Primary |
Addresses
Primary practice location
3622 N Main St
Hope Mills, NC 28348-1937
Mailing address
136 Timberlake Dr
Fayetteville, NC 28314-1240
Phone (910) 643-0729
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3622 N Main St
Hope Mills, NC 28348-1937
Phone (910) 423-7771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHPG, LLC | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients |
Locations
3622 N Main St
Hope Mills, NC 28348
Phone (910) 321-0006
Interoperability endpoints
- sdelellis125649@firsthealth.direct-ci.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
- Primary Care Clinic/Center
- Hope Mills, NC
- NPI 1508297003
-
dba FirstHealth Family Medicine-Carthage Family Medicine
- Family Medicine Physician
- Carthage, NC
- NPI 1366180374
-
dba FirstHealth Primary Care - Tramway
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1366652125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 TIMBERLAKE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283141240",
"telephone_number": "910-643-0729",
"fax_number": "910-643-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 N MAIN ST",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283481937",
"telephone_number": "910-423-7771",
"fax_number": "910-423-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELELLIS",
"first_name": "STEPHEN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hope Mills, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.