Organization Active NPI

Scotty Wayne Hinson

Doing business as Faith Medical Sup

  • Durable Medical Equipment & Medical Supplies
  • Oakboro, NC
National Provider Identifier
1528034881
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016545 NC DME Supplier - Medical Supply Company 1658585617 Practice locations: Oakboro, NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.