Active NPI
Edward Lee Hawkins, M.D.
- Pulmonary Disease Physician
- Reidsville, NC
National Provider Identifier
1376535161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 27283
- Practice address
- 406 Piedmont St
Reidsville, NC 27320-3832 - Phone
- (336) 342-0525
- Fax
- (336) 342-9425
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 27283 | NC | Primary |
Addresses
Primary practice location
406 Piedmont St
Reidsville, NC 27320-3832
Mailing address
406 Piedmont St
Reidsville, NC 27320-3832
Phone (336) 342-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8940611 | Medicaid | NC |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27283 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients |
Locations
300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
- Certified Registered Nurse Anesthetist
- Greensboro, NC
- NPI 1164438578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376535161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 PIEDMONT ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273203832",
"telephone_number": "336-342-0525",
"fax_number": "336-342-9425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 PIEDMONT ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273203832",
"telephone_number": "336-342-0525",
"fax_number": "336-342-9425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "EDWARD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "27283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8940611",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.