Individual provider Active NPI

Charlotte Lee Hough, FNP

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1497746093
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015428 Issued in NC
Practice address
705 WH Smith Blvd
Greenville, NC 27834-3752
Phone
(252) 329-8482
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5015428 NC
Family Nurse Practitioner 363LF0000X 0024166611 VA
Family Nurse Practitioner 363LF0000X 2015428 NC
Family Nurse Practitioner 363LF0000X 5015428 NC Primary

Addresses

Primary practice location

705 WH Smith Blvd
Greenville, NC 27834-3752

Mailing address

11 S Gusty Winds Dr
Hampstead, NC 28443-2265
Phone (571) 242-3031

Other practice location 1

1000 Brabham Ave
Jacksonville, NC 28546-5003
Phone (910) 347-1515

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
I20230316002905 NC Practitioner - Nurse Practitioner 9830254127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandy Shores Medical Center and Urgent CareGroup PAC ID 1658787270, 6 clinicians
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

13741 NC Hwy 50
Suite a
Surf City, NC 28445-6935
Phone (910) 777-2732

4612 Main St
Shallotte, NC 28470-4452
Phone (910) 444-2970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015428NCMDFamily Nurse Practitioner
5015428NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pitt Internal Medicine PLLC CurrentSince Feb 19, 2023 Accepting new patients
Sandy Shores Medical Center and Urgent Care CurrentSince Feb 19, 2025 Accepting new patients
Viva Med PLLC CurrentSince Feb 19, 2023 Accepting new patients
Wilmington Health PLLC CurrentSince Feb 14, 2023 Accepting new patients
Wilmington ASC LLC CurrentSince Feb 14, 2023 Accepting new patients
Sandy Shores Primary Care, PLLC CurrentSince Feb 19, 2025 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

705 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 329-8482

1000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 347-1515

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

13741 NC Highway 50
Ste A
Surf City, NC 28445
Phone (910) 777-2732

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1497746093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S GUSTY WINDS DR",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432265",
            "telephone_number": "571-242-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343752",
            "telephone_number": "252-329-8482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Brabham Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285465003",
            "country_code": "US",
            "telephone_number": "910-347-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "CHARLOTTE",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166611",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2015428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.