Individual provider Active NPI

Alexis C Hamilton, NP

  • Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1699309211
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012896 Issued in NC
Practice address
105 E College Ave
Shelby, NC 28152
Phone
(866) 389-2727
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 5012896 NC Primary

Addresses

Primary practice location

105 E College Ave
Shelby, NC 28152

Mailing address

105 E College Ave
Shelby, NC 28152-9543
Phone (866) 389-2727

Other practice location 1

808 Schenck St
Shelby, NC 28150-3934
Phone (704) 480-1087

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200605002417 NC Practitioner - Nurse Practitioner 4981025533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

105 E College Ave
Shelby, NC 28152-9543
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
85.46 of 100Reported as group
Quality
80.45
Improvement activities
40
Cost
87.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care North Carolina PLLC CurrentSince Jun 4, 2025 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Apr 15, 2023 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC CurrentSince Sep 17, 2024 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Apr 15, 2023 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

105 E College Ave
Shelby, NC 28152
Phone (704) 434-6560

808 Schenck St
Shelby, NC 28150
Phone (704) 480-9344

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1699309211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E COLLEGE AVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281529543",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E COLLEGE AVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Schenck St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503934",
            "country_code": "US",
            "telephone_number": "704-480-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ALEXIS",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.