Susan Jean Hines

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

2000-00229 Issued in NC

Practice address

1908 Caudle Dr Ste 200
Mount Airy, NC 27030-4322

Phone

(336) 783-6935

Fax

(336) 783-6934

NPI assigned

Jan 25, 2006

Last updated

Nov 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Electronic endpoints 2

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

Specialty

Medical Oncology

Education

University of Cincinnati College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novant Health Thomasville Medical Center LLCGroup PAC ID 5890605224, 101 clinicians

Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
• Twin County Regional Hospital Hospital, Galax, VA, CCN 490115

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shines154671@direct.novanthealth.org

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.

• Forsyth Memorial Hospital, Inc.

  dba NH Forsyth Primary Care Clinics

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1104548874
  Medicare reassignment Care Compare group NPD
• Novant Health Thomasville Medical Center, LLC

  dba Professional Service of Thomasville Medical Center

  • Specialist
  • Thomasville, NC
  • NPI 1033160205
  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Novant Health Rowan Medical Center LLC

  • Neurology Physician
  • Salisbury, NC
  • NPI 1508931544
  Medicare reassignment NPD
• Forsyth Memorial Hospital, Inc

  dba Piedmont Hematology Oncology Associates

  • Hematology & Oncology Physician
  • Elkin, NC
  • NPI 1871802157
  NPD
• Forsyth Memorial Hospital, Inc.

  dba Novant Health Heart & Vascular Institute - Frontis Plaza

  • Cardiovascular Disease Physician
  • Winston Salem, NC
  • NPI 1932935475
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Ironwood Family Medicine

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1518398098
  NPD
• Novant Health Rowan Medical Center, LLC

  dba Novant Health Cancer Institute

  • Hematology & Oncology Physician
  • Statesville, NC
  • NPI 1063167369
  NPD
• Novant Health Rowan Medical Center, LLC

  dba NH Rowan Cancer Clinics

  • Hematology & Oncology Physician
  • Salisbury, NC
  • NPI 1427770130
  NPD
• Novant Health Thomasville Medical Center LLC

  dba Novant Health Cancer Institute

  • Hematology & Oncology Physician
  • Winston Salem, NC
  • NPI 1649159609
  NPD
• Novant Health Thomasville Medical Center, LLC

  dba Novant Health Cancer Institute

  • Hematology & Oncology Physician
  • Thomasville, NC
  • NPI 1740933696
  NPD

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

• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Northern Hospital of Surry County

  dba North Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  dba Twin County Regional Hospital

  • General Acute Care Hospital
  • Galax, VA
  • NPI 1114292141
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1801161369

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1619947215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 CAUDLE DR STE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304322",
            "telephone_number": "336-783-6935",
            "fax_number": "336-783-6934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 W Lake Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270302135",
            "country_code": "US",
            "telephone_number": "336-783-6935",
            "fax_number": "336-783-6934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2000-00229",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "2000-00229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126FM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS NATIONAL HEALTH",
            "identifier": "37156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3097131",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006005306",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "900004457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "126FM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3608287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4474243",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shines154671@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "865 W Lake Dr Ste 200",
            "city": "Mount Airy",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270302135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shines154671@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1908 Caudle Dr Ste 200",
            "city": "Mount Airy",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270304322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hep LLC
• Richard Ray Herber, M.D.
• High Country Community Health
• High Country Community Health (High Country Community Health at Surry Medical Ministries)
• Kylee Hill
• Sherry Hinson, PA
• David Hock, DO
• Savannah Hodges, NP-C
• Jenna Ruby Holdaway, OTD, OTR
• Deborah Lynn Holden, M.D.

• Medical Oncology Physician in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Medical Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.