Individual provider Active NPI

Jennifer Rhoads Hsieh, PA-C

  • Medical Physician Assistant
  • Clemmons, NC
National Provider Identifier
1750824173
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
101810 Issued in NC
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

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101810OtherNCNCMB

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
I20171215002760 NC Practitioner - Physician Assistant 9436417631 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101810NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
High Rock Internal Medicine CurrentSince Oct 1, 2017 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.

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

Verify at the official NPI Registry.