Active NPI
Jennifer Rhoads Hsieh, PA-C
- Medical Physician Assistant
- Clemmons, NC
National Provider Identifier
1750824173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 101810
- Practice address
- 2554 Lewisville Clemmons Rd Ste 109
Clemmons, NC 27012-8749 - Phone
- (336) 397-2161
- Fax
- (336) 397-2171
- NPI assigned
- Dec 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 101810 | NC | Primary |
Addresses
Primary practice location
2554 Lewisville Clemmons Rd Ste 109
Clemmons, NC 27012-8749
Mailing address
2554 Lewisville Clemmons Rd Ste 109
Clemmons, NC 27012-8749
Phone (336) 397-2161
Other practice location 1
104 W Medical Park Dr
Lexington, NC 27292-6773
Phone (336) 224-0931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101810 | Other | NC | NCMB |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101810 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Rock Internal Medicine | Current | Accepting new patients |
Locations
104 W Medical Park Dr
Lexington, NC 27292
Phone (336) 224-0931
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lexington, NC
- NPI 1861675357
-
- Adult Health Nurse Practitioner
- Lexington, NC
- NPI 1093267577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1750824173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2554 LEWISVILLE CLEMMONS RD STE 109",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128749",
"telephone_number": "336-397-2161",
"fax_number": "336-397-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2554 LEWISVILLE CLEMMONS RD STE 109",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128749",
"telephone_number": "336-397-2161",
"fax_number": "336-397-2171"
}
],
"practiceLocations": [
{
"address_1": "104 W Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "NC",
"postal_code": "272926773",
"country_code": "US",
"telephone_number": "336-224-0931",
"fax_number": "336-224-0932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HSIEH",
"first_name": "JENNIFER",
"middle_name": "RHOADS",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-03",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "101810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCMB",
"identifier": "101810",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.