NPIMap

Organization Active NPI

The Moses H. Cone Memorial Hospital Operating Corporation

Doing business as Cone Health Primary Care at MedCenter High Point

  • Family Medicine Physician
  • High Point, NC
National Provider Identifier
1801137435
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Doing business as
Cone Health Primary Care at MedCenter High Point
Practice address
2630 Willard Dairy Rd Ste 203
High Point, NC 27265-8328
Phone
(336) 889-9933
Fax
(336) 889-9934
NPI assigned
Mar 6, 2013
Last updated
May 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Sally Patricia Hammond
Title
Executive Director Operations
Phone
(336) 663-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2630 Willard Dairy Rd Ste 203
High Point, NC 27265-8328

Mailing address

300 E Wendover Ave FL 4
Greensboro, NC 27401-1229

Other names 1

  • Cone Health Primary Care at MedCenter High Point Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000817 NC Part B Supplier - Clinic/Group Practice 6204744600 Receives reassigned benefits from 28 practitioners
2 other NPIs on this enrollment
Practice locations: Greensboro, NC

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Moses Cone Mem Hosp

Locations

2630 Willard Dairy Rd
Ste 203
High Point, NC 27265
Phone (336) 884-3770

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alamance Regional Medical Center IncBurlington, NC, CCN 34S070 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1801137435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WENDOVER AVE FL 4",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WILLARD DAIRY RD STE 203",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658328",
            "telephone_number": "336-889-9933",
            "fax_number": "336-889-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2013-03-06",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "336-663-5007"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cone Health Primary Care at MedCenter High Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cone Health Primary Care at MedCenter High Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.