NPIMap

Individual provider Active NPI

Susan Denise Hensley Hannah, AGNP-C

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1679090773
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009846 Issued in NC
Practice address
770 Highland Oaks Dr Ste 100
Winston Salem, NC 27103-7105
Phone
(336) 718-1970
Fax
(336) 774-8601
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009846 NC Primary

Addresses

Primary practice location

770 Highland Oaks Dr Ste 100
Winston Salem, NC 27103-7105

Mailing address

PO Box 604136
Charlotte, NC 28260-4136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannah510745@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000828 NC Practitioner - Nurse Practitioner 0345515706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
NMG Health Services LLCGroup PAC ID 4789057753, 40 clinicians

Practice addresses (Care Compare)

770 Highland Oaks Dr
Suite 100
Winston Salem, NC 27103-7105
Phone (336) 718-1970

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009846NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Sep 18, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 18, 2017 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NMG Health Services LLC CurrentSince Dec 14, 2025 Accepting new patients
NMG Health Services, LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

770 Highland Oaks Dr
#100
Winston Salem, NC 27103
Phone (336) 718-1970

Interoperability endpoints

  • Direct secure messaging: shannah510745@direct.novanthealth.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1679090773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 HIGHLAND OAKS DR STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037105",
            "telephone_number": "336-718-1970",
            "fax_number": "336-774-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY HANNAH",
        "first_name": "SUSAN",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannah510745@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "770 Highland Oaks Dr Ste 100",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271037105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.