Individual provider Active NPI

Haley Mound

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1740851401
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014659 Issued in NC
Practice address
3711 Elmsley St Ste 102
Greensboro, NC 27406-7039
Phone
(336) 890-2200
NPI assigned
Jul 5, 2021
Last updated
Oct 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014659 NC Primary

Addresses

Primary practice location

3711 Elmsley St Ste 102
Greensboro, NC 27406-7039

Mailing address

3711 Elmsley St Ste 102
Greensboro, NC 27406-7039

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
I20211007003206 NC Practitioner - Family Practice 7416355276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1123 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-4400

1127 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-7100

3370 Frontis St
Suite C 5
Winston Salem, NC 27103-5548
Phone (336) 890-2460

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970

5535 Robin Lark Cir
Winston Salem, NC 27106-9906
Phone (336) 890-2470

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Jan 6, 2025 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Express Care of Yadkin LLC Family CurrentSince Aug 9, 2021 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Jun 1, 2022 Accepting new patients
Express Care of Yadkin PastSince Jul 1, 2021 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

3866 Rural Retreat Rd
Ste 104
Burlington, NC 27215
Phone (336) 890-4160

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3711 Elmsley St
Ste 102
Greensboro, NC 27406
Phone (336) 890-2200

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

755 S State St
Yadkinville, NC 27055
Phone (336) 849-4171

Organizations & group practices 6

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.

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": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1740851401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 ELMSLEY ST STE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274067039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 ELMSLEY ST STE 102",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274067039",
            "telephone_number": "336-890-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUND",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.