Individual provider Active NPI

Mark C Hines, MD

  • Interventional Pain Medicine Physician
  • Mooresville, NC
National Provider Identifier
1790773000
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
200200234 Issued in NC
Practice address
653 Bluefield Rd Ste H
Mooresville, NC 28117-9599
Phone
(704) 360-4378
Fax
(704) 696-8150
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 200200234 NC
Interventional Pain Medicine Physician 208VP0014X 200200234 NC Primary

Addresses

Primary practice location

653 Bluefield Rd Ste H
Mooresville, NC 28117-9599

Mailing address

766 Hartness Rd Ste B
Statesville, NC 28677-3485
Phone (704) 873-5667

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
I20040629000608 NC Practitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Sports Medicine 4789660713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Internal Medicine, Sports Medicine
Education
Pennsylvania State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Lynnfield Court
Mooresville, NC 28117-7115

170 Medical Park Rd
Mooresville, NC 28117-8540

170 Medical Park Rd
Suite 310
Mooresville, NC 28117-8541
Phone (704) 360-2260

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Spine & Pain Center, PLLC Interventional Pain Medicine CurrentSince Dec 2, 2002 Accepting new patients
Iredell Physician Network LLC PastSince Feb 2, 2025 Accepting new patients

Locations

8712 Lindholm Dr
Ste 302
Huntersville, NC 28078
Phone (704) 997-6530

170 Medical Park Rd
Ste 310
Mooresville, NC 28117
Phone (704) 360-2260

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1790773000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 HARTNESS RD STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773485",
            "telephone_number": "704-873-5667",
            "fax_number": "704-883-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 BLUEFIELD RD STE H",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179599",
            "telephone_number": "704-360-4378",
            "fax_number": "704-696-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200200234",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "200200234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.