NPIMap

Organization Active NPI

Hospice of Davidson County North Carolina, Inc.

Doing business as Alderwood Medical Services

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lexington, NC
National Provider Identifier
1407683535
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
HOSPICE OF DAVIDSON COUNTY NORTH CAROLINA, INC.
Doing business as
Alderwood Medical Services
Practice address
200 Hospice Way
Lexington, NC 27292-6989
Phone
(336) 475-5444
Fax
(336) 474-2080
NPI assigned
Sep 13, 2024
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Laura Kathryn Owen
Title
Ceo
Phone
(336) 475-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

200 Hospice Way
Lexington, NC 27292-6989

Mailing address

200 Hospice Way
Lexington, NC 27292-6989
Phone (336) 475-5444

Other names 1

  • Alderwood Medical Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018001752 NC Part B Supplier - Clinic/Group Practice 4385791581 Receives reassigned benefits from 4 practitioners
Practice locations: Lexington, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Alderwood Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 Hospice Way
Lexington, NC 27292
Phone (336) 475-5444

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1407683535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPICE WAY",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926989",
            "telephone_number": "336-475-5444",
            "fax_number": "336-474-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPICE WAY",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926989",
            "telephone_number": "336-475-5444",
            "fax_number": "336-474-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF DAVIDSON COUNTY NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-475-5444"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alderwood Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.