Individual provider Active NPI

Henry T Hyman, D.O.

  • Obstetrics & Gynecology Physician
  • Clinton, NC
National Provider Identifier
1427092865
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
93-00493 Issued in NC
Practice address
516 Beaman St
Clinton, NC 28328-2602
Phone
(910) 592-1414
Fax
(910) 592-2989
NPI assigned
Jun 16, 2006
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 93-00493 NC Primary

Addresses

Primary practice location

516 Beaman St
Clinton, NC 28328-2602

Mailing address

516 Beaman St
Clinton, NC 28328-2602
Phone (910) 592-1414

Other identifiers 1

IdentifierTypeStateIssuer
8944381MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000465 NC Practitioner - Obstetrics/Gynecology 0749289361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93-00493NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Regional Professional Services LLC Obstetrics & Gynecology CurrentSince Jul 3, 2017 Accepting new patients
Sampson Regional Professional Services, LLC CurrentSince Jul 3, 2017 Accepting new patients
Sampson Regional Professional Services, LLC Past Accepting new patients

Locations

516 Beaman St
Clinton, NC 28328
Phone (910) 590-0046

603 Beaman St
Ste 100
Clinton, NC 28328
Phone (910) 590-0027

603 Beaman St
Ste 502
Clinton, NC 28328
Phone (910) 590-8050

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1427092865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-592-1414",
            "fax_number": "910-592-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282602",
            "telephone_number": "910-592-1414",
            "fax_number": "910-592-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMAN",
        "first_name": "HENRY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "93-00493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8944381",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.