NPIMap

Organization Active NPI

Pinehurst Radiology Group P a

  • Specialist
  • Pinehurst, NC
National Provider Identifier
1861445686
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
William B Hudgins, MDNPI 1447207360
Title
President
Phone
(910) 295-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

315 Page Rd N
Pinehurst, NC 28374

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555

4565 Fayetteville Rd
Ste A
Raeford, NC 28376
Phone (910) 878-5100

508 Wood St
Troy, NC 27371
Phone (910) 215-5115

Practitioners & affiliated clinicians

Practitioners 32

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 32

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

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.

Verify at the official NPI Registry.