Active NPI
Hattie Danielle McCall, PA-C
- Physician Assistant
- Southern Pines, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-09029
- Practice address
- 195 W Illinois Ave
Southern Pines, NC 28387-5808 - Phone
- (910) 692-2444
- NPI assigned
- Jun 28, 2018
- Last updated
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-09029 | NC | Primary |
Addresses
Primary practice location
195 W Illinois Ave
Southern Pines, NC 28387-5808
Mailing address
195 W Illinois Ave
Southern Pines, NC 28387-5808
Phone (910) 692-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.85 of 100
- Quality
- 84.92
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 81.54
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-09029 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outer Banks Professional Services, LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Northwest Acute Care Specialists PC | Current | Accepting new patients | |
| Sandhills Pediatrics | Past | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Outer Banks Hospital Urgent Care
- Urgent Care Clinic/Center
- Nags Head, NC
- NPI 1386182608
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Emergency Medicine Physician
- Vancouver, WA
- NPI 1487811048
-
- Pediatrics Physician
- Southern Pines, NC
- NPI 1114998150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1861987117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 W ILLINOIS AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875808",
"telephone_number": "910-692-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 W ILLINOIS AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875808",
"telephone_number": "910-692-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "HATTIE",
"middle_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-09029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.