Individual provider Active NPI

Delina Harsha Bishop, MD

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1629066212
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200401548 Issued in NC
Practice address
283 N Main St
Mooresville, NC 28115-2527
Phone
(704) 664-1276
Fax
(704) 386-9193
NPI assigned
Oct 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 200401548 NC
Obesity Medicine (Family Medicine) Physician 207QB0002X 200401548 NC
Pain Medicine Physician 208VP0000X 200401548 NC
Family Medicine Physician 207Q00000X 200401548 NC Primary

Addresses

Primary practice location

283 N Main St
Mooresville, NC 28115-2527

Mailing address

283 N Main St
Mooresville, NC 28115-2527
Phone (704) 664-1276

Other identifiers 1

IdentifierTypeStateIssuer
5912020MedicaidNC

Other names 1

  • Dr. Delina Harsha Nash Former name

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
I20100818000559 NC Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 4486653664 Practice locations: Mooresville, NC

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HWMD Medical Professionals PLLC Family Medicine CurrentSince Nov 9, 2021 Accepting new patients
Restore Health & Hydration Family Medicine CurrentSince Aug 10, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC Family Medicine Past Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Locations

478 Williamson Rd
Unit 202B
Mooresville, NC 28117
Phone (704) 664-1275

283 N Main St
Mooresville, NC 28115
Phone (704) 664-1276

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 4

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": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1629066212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152527",
            "telephone_number": "704-664-1276",
            "fax_number": "704-386-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152527",
            "telephone_number": "704-664-1276",
            "fax_number": "704-386-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DELINA",
        "middle_name": "HARSHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "200401548",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NC",
            "license": "200401548",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "200401548",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200401548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912020",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELINA",
            "last_name": "NASH",
            "middle_name": "HARSHA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.