Individual provider Active NPI

Meredith Totten Hanes

  • Clinical Social Worker
  • Statesville, NC
National Provider Identifier
1891264560
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012936 Issued in NC
Practice address
318 Turnersburg Hwy
Statesville, NC 28625-2798
Phone
(336) 745-1121
NPI assigned
Nov 25, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012936 NC Primary

Addresses

Primary practice location

318 Turnersburg Hwy
Statesville, NC 28625-2798

Mailing address

284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100

Other practice location 1

524 Signal Hill Drive Ext
Statesville, NC 28625-4391
Phone (704) 871-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220222001000 NC Practitioner - Clinical Social Worker 1153715909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brinkley Brown Mental Wellness PLLCGroup PAC ID 3173917010, 10 clinicians

Practice addresses (Care Compare)

1480 Chapel Ridge Rd
Suite 220
Apex, NC 27502-8504
Phone (919) 355-9792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P012936NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brinkley Brown Mental Wellness PLLC Clinical CurrentSince Jan 1, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1891264560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251833",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 TURNERSBURG HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252798",
            "telephone_number": "336-745-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Signal Hill Drive Ext",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286254391",
            "country_code": "US",
            "telephone_number": "704-871-1045",
            "fax_number": "704-873-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANES",
        "first_name": "MEREDITH",
        "middle_name": "TOTTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.