Individual provider Active NPI

Suzanne Powell Hess, M.D.

  • Specialist
  • Advance, NC
National Provider Identifier
1770577074
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32730 Issued in NC
Practice address
108 Dornach Way
Advance, NC 27006-7305
Phone
(336) 940-2407
Fax
(336) 940-2409
NPI assigned
Sep 1, 2005
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32730 NC Primary

Addresses

Primary practice location

108 Dornach Way
Advance, NC 27006-7305

Mailing address

108 Dornach Way
Advance, NC 27006-7305
Phone (336) 940-2407

Other identifiers 1

IdentifierTypeStateIssuer
8942011MedicaidNC

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
I20040601000048 NC Practitioner - Dermatology 2062493018 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32730NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Davie Dermatology, P.a. Specialist CurrentSince Sep 11, 1995 Accepting new patients
Wake Forest University Health Sciences PastSince Sep 11, 1995 Accepting new patients

Locations

121 Medical Dr
Advance, NC 27006
Phone (336) 940-2407

108 Dornach Way
Bermuda Run, NC 27006
Phone (336) 940-2407

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1770577074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DORNACH WAY",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067305",
            "telephone_number": "336-940-2407",
            "fax_number": "336-940-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DORNACH WAY",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067305",
            "telephone_number": "336-940-2407",
            "fax_number": "336-940-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "SUZANNE",
        "middle_name": "POWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "32730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8942011",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Advance, NC

Sources for this page

Verify at the official NPI Registry.