NPIMap

Individual provider Active NPI

John Haddock

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
National Provider Identifier
1609334119
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
124169 Issued in NC
Practice address
509 Biltmore Ave
Asheville, NC 28801-4601
Phone
(828) 213-1111
NPI assigned
Mar 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 124169 NC Primary

Addresses

Primary practice location

509 Biltmore Ave
Asheville, NC 28801-4601

Mailing address

1250 Ephesus Church Rd Apt A8
Chapel Hill, NC 27517-2554

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://missionhealth.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191007002756 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719218692 Reassigns benefits to 3 organizations
I20230110001736 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719218692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 681-2420

101 E Wood St
Spartanburg, SC 29303-3040

201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3000

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
124169NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc. Current Accepting new patients
Pelham Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Fletcher Hospital Inc CurrentSince Mar 26, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Apr 1, 2023 Accepting new patients
Allcare Clinical Associates PA Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2022 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Apr 7, 2025 Accepting new patients
Allcare Clinical Associates, PA Anesthesiology CurrentSince Dec 2, 2022 Accepting new patients
Fletcher Hospital Inc. CurrentSince Mar 26, 2024 Accepting new patients
Pelham Medical Center Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients

Locations

34 Granby St
Asheville, NC 28801
Phone (828) 225-0861

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Interoperability endpoints

  • Direct secure messaging: jhaddock2812573@adventhealth.direct-ci.com

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1609334119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 EPHESUS CHURCH RD APT A8",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014601",
            "telephone_number": "828-213-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "124169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://missionhealth.org/",
            "affiliation": "N",
            "address_1": "509 Biltmore Ave",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288014601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.