NPIMap

Organization Active NPI

Hopscotch Primary Care Group, PA

Doing business as Hopscotch Primary Care

  • Family Medicine Physician
  • Shelby, NC
National Provider Identifier
1831306992
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOPSCOTCH PRIMARY CARE GROUP, PA
Doing business as
Hopscotch Primary Care
Practice address
113 E Grover St
Shelby, NC 28150-3803
Phone
(704) 487-5228
Fax
(704) 482-4284
NPI assigned
May 17, 2007
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Thirath Chau, MDNPI 1285896720
Title
Chief Medical Officer
Phone
(337) 860-4721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Preferred Provider Organization 305R00000X

Addresses

Primary practice location

113 E Grover St
Shelby, NC 28150-3803

Mailing address

113 E Grover St
Shelby, NC 28150-3803
Phone (704) 487-5228

Other names 1

  • Hopscotch Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408000782 NC Part B Supplier - Clinic/Group Practice 4587658075 Receives reassigned benefits from 23 practitioners
Practice locations: Asheville, NC; Boone, NC; Burnsville, NC; Shelby, NC; Spruce Pine, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0243684Hopscotch Primary Care - Shelby113 East Grover Street, Shelby, NC 28150Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

400 Shadowline Dr
Ste 103
Boone, NC 28607

Practitioners & affiliated clinicians

Practitioners 80

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 80

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1831306992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503803",
            "telephone_number": "704-487-5228",
            "fax_number": "704-482-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503803",
            "telephone_number": "704-487-5228",
            "fax_number": "704-482-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPSCOTCH PRIMARY CARE GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "THIRATH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "337-860-4721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hopscotch Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.