Hawthorne Eye Associates, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

78804 Issued in NC

Legal business name

HAWTHORNE EYE ASSOCIATES, P.A.

Practice address

1364 Westgate Center Dr
Winston Salem, NC 27103-2932

Phone

(336) 768-4140

Fax

(336) 768-4487

NPI assigned

Apr 12, 2006

Last updated

Nov 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen S Nagy, M.D.NPI 1538123161

Title

President

Phone

(336) 768-4140

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen S Nagy, M.D.

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1538123161
  Medicare reassignment Care Compare group NPD Authorized official
• Justin Powell Hess, MD

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1760040125
  Medicare reassignment Care Compare group NPD
• Bonnie E. Aiken, O.D.

  • Optometrist
  • Salisbury, NC
  • NPI 1194789727
  NPD (past)
• Gregory Childress

  • Optician
  • Winston Salem, NC
  • NPI 1952422958
  NPD (past)
• Christopher D. Covington, D.O.

  • Ophthalmology Physician
  • Wilmington, NC
  • NPI 1093836215
  NPD (past)
• John Albert Kulits, MD

  • Ophthalmology Physician
  • Brevard, NC
  • NPI 1659391837
  NPD (past)
• Charles S Tara, M.D.

  • Ophthalmology Physician
  • High Point, NC
  • NPI 1700840873
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1598729147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WESTGATE CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032932",
            "telephone_number": "336-768-4140",
            "fax_number": "336-768-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WESTGATE CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032932",
            "telephone_number": "336-768-4140",
            "fax_number": "336-768-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-768-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "78804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "2472021",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE0337",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0331C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890278J",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hawthorne.eye@direct.hawthorneeye.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1364 Westgate Center Dr",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271032932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Talbert Hawkins, PA-C
• Joshua Benton Hawkins, CRNA
• Samantha Hawkins, FNP-C
• Travis Hawkins, MD
• Lindsey Brooke Hawks, PA C
• Hawthorne OB/GYN
• Anita Hawthorne
• Laura Hanna Hayasaka, P.A.
• Kimberly Kurtz Hayden, PT, DPT
• Andrew Charles Hayek, DPT

• Ophthalmology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.