Organization Active NPI

HWMD Medical Professionals PLLC

  • Clinic/Center
  • Mooresville, NC
National Provider Identifier
1528557543
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HWMD MEDICAL PROFESSIONALS PLLC
Practice address
478 Williamson Rd, Unit 202B/203C
Mooresville, NC 28117-8192
Phone
(704) 664-1275
Fax
(704) 380-0986
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Dr. Delina Harsha Bishop, MDNPI 1629066212
Title
Owner/Operator/Physician
Phone
(704) 664-1275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Clinic/Center 261Q00000X NC Primary

Addresses

Primary practice location

478 Williamson Rd, Unit 202B/203C
Mooresville, NC 28117-8192

Mailing address

478 Williamson Rd, Unit 202B
Mooresville, NC 28117-8192
Phone (704) 664-1275

National Provider Directory

National Provider Directory

Locations

478 Williamson Rd
Unit 202B
Mooresville, NC 28117
Phone (704) 664-1275

478 Williamson Rd
Unit 202B203C
Mooresville, NC 28117
Phone (704) 664-1275

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1528557543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 WILLIAMSON RD, UNIT 202B",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178192",
            "telephone_number": "704-664-1275",
            "fax_number": "704-380-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 WILLIAMSON RD, UNIT 202B/203C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178192",
            "telephone_number": "704-664-1275",
            "fax_number": "704-380-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HWMD MEDICAL PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "DELINA",
        "authorized_official_middle_name": "HARSHA",
        "authorized_official_title_or_position": "OWNER/OPERATOR/PHYSICIAN",
        "authorized_official_telephone_number": "704-664-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.