Active NPI
Hannah Lyne Cooper, PA-C
- Physician Assistant
- Siler City, NC
National Provider Identifier
1669284055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001015002
- Practice address
- 801 W 3Rd St
Siler City, NC 27344-3037 - Phone
- (919) 742-2209
- NPI assigned
- Jan 22, 2025
- Last updated
- Jan 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001015002 | NC | Primary |
Addresses
Primary practice location
801 W 3Rd St
Siler City, NC 27344-3037
Mailing address
638 Fallon CT
Sanford, NC 27330-6970
Phone (910) 366-1059
Other practice location 1
1406 S Main St
Lillington, NC 27546-8960
Phone (910) 984-8229
Other names 1
- Hannah Lyne Malcolm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001015002 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidzcare Pediatrics, PC | Past | Accepting new patients | |
| Kidzcare Pediatrics, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Lillington, NC
- NPI 1023420973
-
- Pediatrics Physician
- Hope Mills, NC
- NPI 1679529051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1669284055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 FALLON CT",
"city": "SANFORD",
"state": "NC",
"postal_code": "273306970",
"telephone_number": "910-366-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W 3RD ST",
"city": "SILER CITY",
"state": "NC",
"postal_code": "273443037",
"telephone_number": "919-742-2209"
}
],
"practiceLocations": [
{
"address_1": "1406 S Main St",
"address_purpose": "LOCATION",
"city": "Lillington",
"state": "NC",
"postal_code": "275468960",
"country_code": "US",
"telephone_number": "910-984-8229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "HANNAH",
"middle_name": "LYNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001015002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "MALCOLM",
"middle_name": "LYNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Siler City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.