Individual provider Active NPI

Ronald Charles Huffman, MD

  • Family Medicine Physician
  • Mooresville, NC
National Provider Identifier
1730182957
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24600 Issued in NC
Practice address
798 Oak Ridge Farm Hwy
Ste a
Mooresville, NC 28115-7924
Phone
(704) 658-0011
NPI assigned
May 23, 2005
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24600 NC Primary

Addresses

Primary practice location

798 Oak Ridge Farm Hwy
Ste a
Mooresville, NC 28115-7924

Mailing address

798 Oak Ridge Farm Hwy
Ste a
Mooresville, NC 28115-7924
Phone (704) 658-0011

Other identifiers 1

IdentifierTypeStateIssuer
891108XMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ronald.huffman.1@4693.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000821 NC Practitioner - Family Practice 4688666332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1730182957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 OAK RIDGE FARM HWY",
            "address_2": "STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157924",
            "telephone_number": "704-658-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 OAK RIDGE FARM HWY",
            "address_2": "STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157924",
            "telephone_number": "704-658-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "RONALD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891108X",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ronald.huffman.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "798 Oak Ridge Farm Hwy",
            "address_2": "Ste A",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281157924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.