Harrison B Baucom, D.O.
Individual provider Active NPI Family Medicine Physician · Whiteville, NC
NPI 1497987440 · NPPES record last updated Nov 8, 2016
Key facts
- NPI
- 1497987440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2010-01252 (NC)
- Practice address
- 500 Jefferson St
Whiteville, NC 28472-3634 - Phone
- (910) 642-1799
- NPI assigned
- Aug 10, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 86.13
- Improvement activities
- 40
- Cost
- 79.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131204001444 | NC | Practitioner - Emergency Medicine |
3375786759 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alleghany Emergency Group LLC | Current |
Accepting new patients | |
| Columbus Emergency Group LLC | Current |
Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Current |
Accepting new patients |
Locations
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100
233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
Interoperability endpoints
- hbaucom@crhn.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2010-01252 | NC | Yes |
Addresses
Primary practice location
500 Jefferson St
Whiteville, NC 28472-3634
Mailing address
3913 Newgate St
Fayetteville, NC 28306-7486
Phone (770) 262-7761
Other providers in Whiteville, NC
- Brittany Carroll Barnes
- Peggy S Barnhill
- Talley Addison Barnhill
- Stephanie Denise Bates
- Hannah Leighann Battley
- Behavioral Health of North Carolina, Inc.
- Breanna Marjorie Benbow
- Rene Bermudez
- Devoria Keaton Berry
- Richard Garth Berry
All providers in Whiteville, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.