Hedgepeth Supportive Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEDGEPETH SUPPORTIVE SERVICES, LLC

Practice address

5509 Monroe Rd
Charlotte, NC 28212-5503

Phone

(704) 510-2287

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

James Hedgepeth

Title

President

Phone

(704) 323-9704

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1780839563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470341",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "704-510-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGEPETH SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "HEDGEPETH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-323-9704"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302574H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Hecht, PHD
• Robert Eldon Heck, DDS
• James Heckaman, MD
• Samantha Hector
• April Demoss Hederman, MD
• Brian Zachary Hedges, M.D.
• Joel A Hedlund, M.D.
• Elizabeth Hedrick, NP
• Rachel Marie Hedrick
• Arielle Lutterman Heeke, MD

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.