Hardee Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200000816 Issued in NC

Legal business name

HARDEE FAMILY MEDICINE PA

Practice address

444 Williamson Rd Suite E
Mooresville, NC 28117

Phone

(704) 658-9779

Fax

(704) 658-9773

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Michael Wayne Hardee, MDNPI 1720075955

Title

Owner/President

Phone

(704) 658-9779

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Wayne Hardee, M.D.

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1720075955
  Medicare reassignment Care Compare group NPD Authorized official
• Brooke Amalea Craft, DNP, FNP-BC

  • Family Nurse Practitioner
  • Mooresville, NC
  • NPI 1457872038
  Medicare reassignment Care Compare group NPD
• Andrew Joseph Schaefer, PA-C

  • Medical Physician Assistant
  • Mooresville, NC
  • NPI 1316257256
  Medicare reassignment Care Compare group
• Kristine Lawson Hardee, PA-C

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1902893068
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1881640035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD STE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179248",
            "telephone_number": "704-658-9779",
            "fax_number": "704-658-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-658-9779",
            "fax_number": "704-658-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDEE FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "HARDEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "704-658-9779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA MEDICARE/MEDICAID",
            "identifier": "34D1027431",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902629",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Rene Hannush, MSW, LCSW
• Elizabeth Corazzo Hansen, R.PH.
• Harbor Internal Medicine
• Harbor Internal Medicine PLLC
• Harborside Pediatrics, PLLC
• Kristine Lawson Hardee, PA-C
• Michael Wayne Hardee, M.D.
• Jennifer Noelle Hardin, M.S. CCC SLP
• Damian Tremaine Hardison
• Abigail Hardy-Espinal, PA

• Family Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.

Verify at the official NPI Registry.