Active NPI
Scotty Wayne Hinson
Doing business as Faith Medical Sup
- Durable Medical Equipment & Medical Supplies
- Oakboro, NC
National Provider Identifier
1528034881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SCOTTY WAYNE HINSON
- Doing business as
- Faith Medical Sup
- Practice address
- 125 W 3Rd St
Oakboro, NC 28129 - Phone
- (704) 485-3125
- Fax
- (704) 485-2662
- NPI assigned
- Feb 27, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scotty Wayne Hinson
- Title
- Owner
- Phone
- (704) 485-3125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC | Primary |
Addresses
Primary practice location
125 W 3Rd St
Oakboro, NC 28129
Mailing address
PO Box 690
125 W. Third St.
Oakboro, NC 28129-0690
Phone (704) 485-3125
Other names 1
- FAITH MEDICAL SUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930016545 | NC | DME Supplier - Medical Supply Company | 1658585617 | Practice locations: Oakboro, NC |
National Provider Directory
National Provider DirectoryLocations
125 W 3Rd St
Oakboro, NC 28129
Phone (704) 485-3125
125W Third St
Oakboro, NC 28129
Phone (704) 485-3125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1528034881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"address_2": "125 W. THIRD ST.",
"city": "OAKBORO",
"state": "NC",
"postal_code": "281290690",
"telephone_number": "704-485-3125",
"fax_number": "704-485-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W 3RD ST",
"city": "OAKBORO",
"state": "NC",
"postal_code": "28129",
"telephone_number": "704-485-3125",
"fax_number": "704-485-2662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTTY WAYNE HINSON",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HINSON",
"authorized_official_first_name": "SCOTTY",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-485-3125",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAITH MEDICAL SUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.