SE Hyang Han, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012850 Issued in NC

Practice address

700 W Main St
Jamestown, NC 27282-9509

Phone

(336) 886-6521

Fax

(336) 886-6525

NPI assigned

Nov 4, 2019

Last updated

Oct 2, 2025By 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 1

Addresses

Other names 1

• Serah Han Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Randolph Primary Care, PAGroup PAC ID 8729129283, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Randolph Primary Care, PA

  • Durable Medical Equipment & Medical Supplies
  • Asheboro, NC
  • NPI 1528392289
  Medicare reassignment Care Compare group NPD
• DLP Maria Parham Physician Practices, LLC

  dba Maria Parham Primary Care

  • Family Medicine Physician
  • Henderson, NC
  • NPI 1215273628
  Medicare reassignment NPD
• Select Specialty Hospital - Greensboro Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1912205113
  Medicare reassignment NPD
• Thriving Minds Psychiatry & Convenience Care PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • High Point, NC
  • NPI 1235063942
  NPD Authorized official
• DLP Maria Parham Physician Practices LLC

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1578256749
  NPD
• DLP Maria Parham Physician Practices, LLC

  dba Maria Parham Women's Care

  • Obstetrics & Gynecology Physician
  • Henderson, NC
  • NPI 1821496753
  NPD
• Select Specialty Hospital - Greensboro Inc

  • Long Term Care Hospital
  • Greensboro, NC
  • NPI 1730346784
  NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1669016556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GRAY DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274121004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W MAIN ST",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829509",
            "telephone_number": "336-886-6521",
            "fax_number": "336-886-6525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Anna M Gove Student Health Center 107 Gray Drive",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274121004",
            "country_code": "US",
            "telephone_number": "336-334-5340",
            "fax_number": "336-334-5343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "SE",
        "middle_name": "HYANG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERAH",
            "last_name": "HAN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Glanville, LICSW
• Graypothecary, LLC
• Greatest Generation, Inc. (The Shannon Gray Rehabilitation & Recovery Center)
• Shanae Michele Green
• Thomas R Green Jr.
• Jessica E. Hartman, MD
• Chelsea Marie Hayes, MSW, LSCW-A
• Ebony Gail Hayes, LCSW-A
• Kyle Hemauer, PTA
• Joshua Herring

• Family Nurse Practitioner in Jamestown, NC
• Providers in Jamestown, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.