Active NPI
Branches of Hickory Healthcare PLLC
- Family Medicine Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BRANCHES OF HICKORY HEALTHCARE PLLC
- Practice address
- 912 2ND St NE Ste 4
Hickory, NC 28601-3851 - Phone
- (828) 979-0955
- Fax
- (828) 212-4296
- NPI assigned
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Harris, NP
- Title
- Owner
- Phone
- (828) 979-0955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
912 2ND St NE Ste 4
Hickory, NC 28601-3851
Mailing address
2425 N Center St # 117
Hickory, NC 28601-1320
Phone (828) 979-0955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2262007 | Branches of Hickory Healthcare, PLLC | Certificate of waiver | Jun 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
912 2nd St NE
Ste 4
Hickory, NC 28601
Phone (828) 979-0955
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hickory, NC
- NPI 1770934713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1659025393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 N CENTER ST # 117",
"city": "HICKORY",
"state": "NC",
"postal_code": "286011320",
"telephone_number": "828-979-0955",
"fax_number": "828-212-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 2ND ST NE STE 4",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013851",
"telephone_number": "828-979-0955",
"fax_number": "828-212-4296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANCHES OF HICKORY HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-979-0955",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.