Amity Storm Hines

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014986 Issued in NC

Practice address

208 Malloy St Ste B
Goldsboro, NC 27534-4478

Phone

(984) 520-6080

NPI assigned

Apr 28, 2020

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

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goshen Medical Center Incorporated 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahines@goshenmedical.cloudcraftdirect.com

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.

• Goshen Medical Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974

  NC

  Medicare reassignment NPD
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1760420186

  Clinical, NC

  Medicare reassignment NPD
• Beyond the Storm Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Olive, NC
  • NPI 1215885298
  NPD Authorized official
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Morehead City, NC
  • NPI 1134835762
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933

  Clinical

  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Pride in North Carolina, LLC

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1821136581
  NPD
• Carolina Outreach, LLC

  • Community/Behavioral Health Agency
  • Wilson, NC
  • NPI 1902239130
  NPD (past)
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Beulaville, NC
  • NPI 1639294309
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1639790876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 DURHAM CHAPEL HILL BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MALLOY ST STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344478",
            "telephone_number": "984-520-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 N Herritage St Ste A",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011580",
            "country_code": "US",
            "telephone_number": "252-686-5020",
            "fax_number": "252-686-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2416 Bedgood Dr SW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278938515",
            "country_code": "US",
            "telephone_number": "252-265-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Nash St NE",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933045",
            "country_code": "US",
            "telephone_number": "252-291-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "AMITY",
        "middle_name": "STORM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarette Ra'Donna Hill
• Heather Hardy Hill, FNP
• Nyeasha Hill, LPN
• Tracie Lynn Hillard, M.S., M.DIV., LPC
• Matthew J Hilsman, D.O.
• Anaise Hope Hines, NP-C
• Hinnant Family Dentistry
• Keith F Hinnant
• Sharon Hinson, LCAS
• Kenneth Hodges, RN

• All providers in Goldsboro, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.