Active NPI
Irmanie Hemphill, M.D.
- Family Medicine Physician
- Monroe, NC
National Provider Identifier
1760618243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME108465
- Practice address
- 1640 Campus Park Dr Ste a
Monroe, NC 28112-5284 - Phone
- (704) 340-6799
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13485 | FL | |
| Family Medicine Physician | 207Q00000X | 2015-02115 | NC | |
| Family Medicine Physician | 207Q00000X | MD51757 | SC | |
| Family Medicine Physician | 207Q00000X | ME108465 | FL | Primary |
Addresses
Primary practice location
1640 Campus Park Dr Ste a
Monroe, NC 28112-5284
Mailing address
5014 Tremont Dr
Indian Trail, NC 28079-8853
Phone (305) 310-2251
Other practice location 1
11200 SW 8th St
Ahc2 #464
Miami, FL 33199
Phone (305) 348-0669
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K9529 | Other | FL | MEDICARE GROUP NUMBER |
| 14H8V | Other | FL | BCBS OF FLORIDA |
| 1760618243 | Other | FL | TRICARE |
| 1457376352 | Other | RAHN SHAW MD PA GROUP NPI | |
| 2844337 | Other | FL | CIGNA |
| 592696120 | Other | FL | RAHN SHAW MD PA TAX IDENTIFICATION |
| 004152400 | Medicaid | FL |
Other names 1
- Dr. Irmanie Eliacin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200601002866 | NC | Practitioner - Family Practice | 4284806100 | |
| I20240111004901 | TX | Practitioner - Family Practice | 4284806100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13485 | FL | MD | General Practice Dentistry |
| 2015-02115 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Florida LLC | Family Medicine | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Pippen Health of California, P.C., a California Professional Corporati | Past | Accepting new patients | |
| Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
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
- White Plains, NY
- NPI 1528744935
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1740788702
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1013792514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1760618243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5014 TREMONT DR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280798853",
"telephone_number": "305-310-2251",
"fax_number": "704-628-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 CAMPUS PARK DR STE A",
"city": "MONROE",
"state": "NC",
"postal_code": "281125284",
"telephone_number": "704-340-6799"
}
],
"practiceLocations": [
{
"address_1": "11200 SW 8th St",
"address_2": "AHC2 #464",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33199",
"country_code": "US",
"telephone_number": "305-348-0669",
"fax_number": "305-348-1495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEMPHILL",
"first_name": "IRMANIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "13485",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2015-02115",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "MD51757",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME108465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "K9529",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "14H8V",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1760618243",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAHN SHAW MD PA GROUP NPI",
"identifier": "1457376352",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2844337",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAHN SHAW MD PA TAX IDENTIFICATION",
"identifier": "592696120",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004152400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IRMANIE",
"last_name": "ELIACIN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.