Active NPI
Hopscotch Primary Care Group, PA
- Family Medicine Physician
- Shelby, NC
National Provider Identifier
1831306992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HOPSCOTCH PRIMARY CARE GROUP, PA
- Practice address
- 113 E Grover St
Shelby, NC 28150-3803 - Phone
- (704) 487-5228
- Fax
- (704) 482-4284
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thirath Chau, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8947324 | Medicaid | NC | |
| 8947300 | Medicaid | NC | |
| 89126G9 | Medicaid | NC | |
| 891282M | Medicaid | NC |
Other names 1
- Hopscotch Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0243684 | Hopscotch Primary Care - Shelby | Certificate of waiver | Apr 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898
15 Yorkshire St
Ste 201
Asheville, NC 28803
Phone (828) 274-1600
400 Shadowline Dr
Ste 103104
Boone, NC 28607
Phone (817) 966-0621
Practitioners & affiliated clinicians
Practitioners 80
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8947324",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8947300",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89126G9",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891282M",
"state": "NC"
}
],
"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.