Active NPI
Ryan Hines, MD
- Emergency Medicine Physician
- Mooresville, NC
National Provider Identifier
1760453070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2005-00619
- Practice address
- 171 Fairview Rd
Mooresville, NC 28117-9500 - Phone
- (704) 660-4000
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 200500619 | NC | |
| Emergency Medicine Physician | 207P00000X | 2005-00619 | NC | Primary |
Addresses
Primary practice location
171 Fairview Rd
Mooresville, NC 28117-9500
Mailing address
3101 Latrobe Dr
Charlotte, NC 28211-4849
Phone (704) 376-7362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0061A | Medicaid | SC | |
| 5901088 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Buffalo School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000
Hospital & facility affiliations
- Duke Health Lake Norman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-00619 | NC | MD | Emergency Medicine Physician |
| 200500619 | NC | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Norman Emergency Medical Associates LLC | Emergency Medicine | Current | Accepting new patients |
| Internal Medicine Specialist, PA | Past | Accepting new patients | |
| Emergency Medicine Physicians of Iredell County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Piedmont Emergency Medical Associates, PA | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
171 Fairview Rd
Mooresville, NC 28117
Phone (704) 660-4000
Interoperability endpoints
- rhines664312@direct.medicine.duke.edu
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Mooresville, NC
- NPI 1053690560
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1326079567
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1801822523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1760453070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 LATROBE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114849",
"telephone_number": "704-376-7362",
"fax_number": "704-376-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 FAIRVIEW RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179500",
"telephone_number": "704-660-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NC",
"license": "200500619",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2005-00619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0061A",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901088",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.