Individual provider Active NPI

Mattias Thomas Norbert Hartmann, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1720742984
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001011812 Issued in NC
Practice address
5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone
(919) 391-7202
Fax
(919) 391-7203
NPI assigned
Oct 25, 2021
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001011812 NC Primary

Addresses

Primary practice location

5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102

Mailing address

5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
Phone (919) 391-7202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220115000133 NC Practitioner - Physician Assistant 4688066095 Reassigns benefits to 5 organizations
I20240726000925 FL Practitioner - Physician Assistant 4688066095

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neil Group IncGroup PAC ID 2365581196, 19 clinicians
Animo Sano Psychiatry PLLCGroup PAC ID 8729489182, 53 clinicians

Practice addresses (Care Compare)

1301 Eastchester Dr
Suite 201
High Point, NC 27265-2626
Phone (336) 774-2194

1399 Ashleybrook LN
Suite 100
Winston Salem, NC 27103-2961
Phone (336) 774-2194

5501 Fortunes Ridge Dr
Suite P
Durham, NC 27713-6102
Phone (919) 391-7202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001011812NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Person Urgent Care LLC Single Specialty CurrentSince Jan 13, 2022 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Jan 13, 2022 Accepting new patients
Best Day Psychiatry and Counseling, PC Single Specialty CurrentSince May 2, 2022 Accepting new patients
The Neil Group, Inc CurrentSince Feb 6, 2025 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince May 2, 2022 Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

1399 Ashleybrook Ln
Ste 100
Winston Salem, NC 27103
Phone (336) 446-9080

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1720742984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 FORTUNES RIDGE DR STE P",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136102",
            "telephone_number": "919-391-7202",
            "fax_number": "919-391-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 FORTUNES RIDGE DR STE P",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136102",
            "telephone_number": "919-391-7202",
            "fax_number": "919-391-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMANN",
        "first_name": "MATTIAS",
        "middle_name": "THOMAS NORBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001011812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.