Individual provider Active NPI

Thomas E Hooper, M.D., F.A.C.P

  • Internal Medicine Physician
  • Wilson, NC
National Provider Identifier
1598726812
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19015 Issued in NC
Practice address
2500 Nash St N Ste B
Wilson, NC 27896-1394
Phone
(252) 237-1225
Fax
(252) 640-2752
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19015 NC Primary

Addresses

Primary practice location

2500 Nash St N Ste B
Wilson, NC 27896-1394

Mailing address

2500 Nash St N Ste B
Wilson, NC 27896-1394
Phone (252) 237-1225

Other identifiers 2

IdentifierTypeStateIssuer
43711OtherNCBCBS
8943711MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329001067 NC Practitioner - Family PracticePractitioner - Internal Medicine 5597891572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Wellness and Nutrition PAGroup PAC ID 1254722366, 3 clinicians

Practice addresses (Care Compare)

2500 Nash St N
Suite B
Wilson, NC 27896-1394
Phone (252) 237-1225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19015NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
360 Wellness & Nutrition, PA CurrentSince Jan 2, 2022 Accepting new patients

Locations

2500 Nash St N
Ste B
Wilson, NC 27896
Phone (252) 218-2750

1704 Glendale Dr SW
Ste A
Wilson, NC 27893
Phone (252) 237-0138

1704 Glendale Dr SW
Wilson, NC 27893
Phone (252) 237-1225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1598726812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NASH ST N STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961394",
            "telephone_number": "252-237-1225",
            "fax_number": "252-640-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NASH ST N STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961394",
            "telephone_number": "252-237-1225",
            "fax_number": "252-640-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "M.D., F.A.C.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "19015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43711",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8943711",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.