Active NPI
Pinehurst Radiology Group P a
- Specialist
- Pinehurst, NC
National Provider Identifier
1861445686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PINEHURST RADIOLOGY GROUP P A
- Practice address
- 30 Memorial Dr
Pinehurst, NC 28374-8707 - Phone
- (910) 295-4400
- Fax
- (910) 295-2810
- NPI assigned
- May 19, 2006
- 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
- William B Hudgins, MD
- Title
- President
- Phone
- (910) 295-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
30 Memorial Dr
Pinehurst, NC 28374-8707
Mailing address
30 Memorial Dr
Pinehurst, NC 28374-8707
Phone (910) 295-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL, TN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040825000804 | NC | Part B Supplier - Clinic/Group Practice | 3678547536 |
Receives reassigned benefits from 22 practitioners Practice locations: Raeford, NC; Sanford, NC; Pinehurst, NC; Southern Pines, NC; Troy, NC; West End, NC; Asheboro, NC; Carthage, NC… |
| O20251229001263 | IL | Part B Supplier - Clinic/Group Practice | 3678547536 |
Receives reassigned benefits from 1 practitioner Practice locations: Oak Park, IL |
| O20260104000202 | TN | Part B Supplier - Clinic/Group Practice | 3678547536 |
Receives reassigned benefits from 1 practitioner Practice locations: Nashville, TN |
National Provider Directory
National Provider DirectoryLocations
30 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-1831
110 Page Rd
Pinehurst, NC 28374
315 Page Rd N
Pinehurst, NC 28374
Practitioners & affiliated clinicians
Practitioners 31
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": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314662400000",
"number": "1861445686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748707",
"telephone_number": "910-295-4400",
"fax_number": "910-295-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748707",
"telephone_number": "910-295-4400",
"fax_number": "910-295-2810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEHURST RADIOLOGY GROUP P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2011-08-30",
"status": "A",
"authorized_official_last_name": "HUDGINS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-295-4400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
- Pinehurst Opco, LLC
- Pinehurst Pathology Center Inc
- Pinehurst Plastic Surgery Specialists, P.a.
- Pinehurst Radiation Oncology Inc
- Pinehurst Radiology Associates
- Pinehurst Skin Surgery Center PLLC
- Pinehurst Surgical Clinic PA
- Pinehurst Wellness Associates PLLC
- Pinehurst Womens Clinic PA
- Pinetree Clinic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.