Active NPI
Anna M Hiltibidal
- Prevention Professional
- Eastover, NC
National Provider Identifier
1588591663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 5739-15
- Practice address
- 4646 Draughon Rd
Eastover, NC 28312-8481 - Phone
- (618) 407-8881
- NPI assigned
- May 5, 2026
- Last updated
- May 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 5739-15 | NC | Primary |
Addresses
Primary practice location
4646 Draughon Rd
Eastover, NC 28312-8481
Mailing address
4646 Draughon Rd
Eastover, NC 28312-8481
Phone (618) 407-8881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5739-15 | NC | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1588591663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 DRAUGHON RD",
"city": "EASTOVER",
"state": "NC",
"postal_code": "283128481",
"telephone_number": "618-407-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 DRAUGHON RD",
"city": "EASTOVER",
"state": "NC",
"postal_code": "283128481",
"telephone_number": "618-407-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILTIBIDAL",
"first_name": "ANNA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NC",
"license": "5739-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastover, NC
- Charmay Deneen Fryar-Robinson
- Sharon Louise Gallagher, FNP
- Anne Porcher Chalmers Goforth
- Harvest Health Services, LLC
- Zachary Clay Hayes, PHARM.D.
- Allison Underwood Holden, FNP-C
- J & S Care Inc. (Morning Star Assisted Living)
- Kaleo Support, Inc.
- Elizabeth Boyle Kleinfelder, CRNP
- Margaret Susan Lewis, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.