Individual provider Active NPI

Doris Lynn Hill, ANPC

  • Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1891914644
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
124909 Issued in NC
Practice address
130 Plantation Ridge Dr Ste 100
Mooresville, NC 28117-9238
Phone
(704) 316-1635
Fax
(704) 316-1636
NPI assigned
Apr 24, 2007
Last updated
Feb 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 005001119 NC
Nurse Practitioner 363L00000X 124909 NC Primary

Addresses

Primary practice location

130 Plantation Ridge Dr Ste 100
Mooresville, NC 28117-9238

Mailing address

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-5416

Other identifiers 2

IdentifierTypeStateIssuer
0050-01119OtherNCMEDICAL BOARD
124909OtherNCRN

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000328 NC Practitioner - Nurse Practitioner 2365526787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rowan Psychiatric and Medical Services PAGroup PAC ID 1557542123, 10 clinicians

Practice addresses (Care Compare)

611 Church St N
Concord, NC 28025-4322
Phone (704) 963-9270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
124909NCMDNurse Practitioner
005001119NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Psychiatric and Medical Services PA CurrentSince Jan 1, 2022 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC CurrentSince Jan 1, 2012 Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Past Accepting new patients
Inland Sea Inpatient Services Past Accepting new patients
Mooresville Hma Physician Management, Inc. Past Accepting new patients

Locations

13640 Steelecroft Pkwy
Charlotte, NC 28278
Phone (704) 512-5500

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

611 Church St N
Concord, NC 28025
Phone (704) 262-3806

117 Fuchia Ln
Lincolnton, NC 28092
Phone (704) 520-3620

310 Statesville Blvd
Ste 1
Salisbury, NC 28144
Phone (704) 637-1888

Interoperability endpoints

  • Direct secure messaging: doris.hill.1@14940.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1891914644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042515",
            "telephone_number": "704-384-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PLANTATION RIDGE DR STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179238",
            "telephone_number": "704-316-1635",
            "fax_number": "704-316-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DORIS",
        "middle_name": "LYNN",
        "credential": "ANPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "005001119",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "124909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "0050-01119",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "124909",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.