Individual provider Active NPI

Murray Grey Hawkinson, LP

  • Psychologist
  • Boone, NC
National Provider Identifier
1619945698
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1855 Issued in NC
Practice address
132 Poplar Grove Connector Ste B
Boone, NC 28607-5915
Phone
(828) 264-8759
Fax
(828) 264-5860
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1855 NC Primary

Addresses

Primary practice location

132 Poplar Grove Connector Ste B
Boone, NC 28607-5915

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100

Other identifiers 7

IdentifierTypeStateIssuer
03715OtherNCBCBS OF NC
03715OtherNCBCBS
104353OtherNCUNITED BEHAVIORAL HEALTH
96112OtherNCMEDCOST
787273-000OtherNCMAGELLAN
2814515COtherNCMEDICARE PTAN
6000733MedicaidNC

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000270 NC Practitioner - Clinical Psychologist 8628054715 Reassigns benefits to 1 organization
Practice locations: Boone, NC

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1855NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. CurrentSince Jan 25, 2012 Accepting new patients
New River Service Authority Past Accepting new patients
New River Service Authority Past Accepting new patients

Locations

132 Poplar Grove Connector
Ste B
Boone, NC 28607
Phone (828) 264-8759

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

1400 Willow Ln
North Wilkesboro, NC 28659
Phone (336) 667-5151

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

Interoperability endpoints

  • Direct secure messaging: murray.hawkinson.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1619945698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 POPLAR GROVE CONNECTOR STE B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075915",
            "telephone_number": "828-264-8759",
            "fax_number": "828-264-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINSON",
        "first_name": "MURRAY",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "03715",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03715",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "104353",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "96112",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "787273-000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2814515C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000733",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.