Active NPI
Hailey Yates, PA-C
- Physician Assistant
- Bolivia, NC
National Provider Identifier
1881503902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-17025
- Practice address
- 4311 Old Ocean Hwy
Bolivia, NC 28422-8637 - Phone
- (877) 935-5255
- NPI assigned
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 0010-17025 | NC | Primary |
Addresses
Primary practice location
4311 Old Ocean Hwy
Bolivia, NC 28422-8637
Mailing address
4311 Old Ocean Hwy
Bolivia, NC 28422-8637
Phone (877) 935-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1881503902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 OLD OCEAN HWY",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284228637",
"telephone_number": "877-935-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 OLD OCEAN HWY",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284228637",
"telephone_number": "877-935-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "HAILEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-17025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.