Individual provider Active NPI

Jeffrey Wayne Hively, M.D.

  • Family Medicine Physician
  • Taylorsville, NC
National Provider Identifier
1679547533
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022-03128 Issued in NC
Practice address
174 Bolick LN Ste 202
Taylorsville, NC 28681-4362
Phone
(828) 732-5680
Fax
(828) 732-5681
NPI assigned
Feb 15, 2006
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022-03128 NC Primary
Family Medicine Physician 207Q00000X 0101247969 VA

Addresses

Primary practice location

174 Bolick LN Ste 202
Taylorsville, NC 28681-4362

Mailing address

174 Bolick LN Ste 202
Taylorsville, NC 28681-4362
Phone (828) 732-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, AR, IL, TX, NC6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20101021000068 VA Practitioner - Family Practice 9638114770 Reassigns benefits to 1 organization
I20190501003377 WV Practitioner - Family Practice 9638114770
I20190729001412 AR Practitioner - Family Practice 9638114770 Reassigns benefits to 1 organization
I20190924000597 IL Practitioner - Family Practice 9638114770
I20191004000457 TX Practitioner - Family Practice 9638114770 Reassigns benefits to 1 organization
I20240912000740 NC Practitioner - Family Practice 9638114770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

174 Bolick LN
Suite 202
Taylorsville, NC 28681-4362
Phone (828) 732-5680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2022-03128NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Arkansas, P.a. Family Medicine CurrentSince Jun 14, 2019 Accepting new patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Jul 18, 2015 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Aug 16, 2019 Accepting new patients
Spring Hill Primary Care Physicians PLLC Family Medicine CurrentSince Jun 21, 2005 Accepting new patients
Catawba Valley Medical Group Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Jun 14, 2019 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Aug 16, 2019 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jul 18, 2015 Accepting new patients
Urgent Care, Inc. - West Virginia Past Accepting new patients
Medexpress Urgent Care Minnesota P.C. Past Accepting new patients
Catawba Valley Medical Group, Inc Past Accepting new patients

Locations

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

174 Bolick Ln
Ste 202
Taylorsville, NC 28681
Phone (828) 495-8226

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

10152 Lake June Rd
Ste 110
Dallas, TX 75217
Phone (972) 557-6551

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

11826 Broadway St
Pearland, TX 77584
Phone (713) 340-1124

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

4003 College Ave
Ste 2A
Bluefield, VA 24605
Phone (276) 322-2085

133 Enterprise Dr
Danville, VA 24540
Phone (434) 792-2907

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

707 Chestnut St
South Charleston, WV 25309
Phone (304) 768-8500

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1679547533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BOLICK LN STE 202",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286814362",
            "telephone_number": "828-732-5680",
            "fax_number": "828-732-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BOLICK LN STE 202",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286814362",
            "telephone_number": "828-732-5680",
            "fax_number": "828-732-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIVELY",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-03128",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101247969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

Verify at the official NPI Registry.