NPIMap

Individual provider Active NPI

Hannah Deberry, FNP-C

  • Family Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1912370958
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008179 Issued in NC
Practice address
733 Plantation Estates Dr
Matthews, NC 28105-9116
Phone
(704) 845-5900
NPI assigned
Nov 12, 2015
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008179 NC Primary

Addresses

Primary practice location

733 Plantation Estates Dr
Matthews, NC 28105-9116

Mailing address

733 Plantation Estates Dr
Matthews, NC 28105-9116
Phone (704) 845-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209002735 NC Practitioner - Nurse Practitioner 8224332358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Atrium Health North Market Network LLCGroup PAC ID 1557743440, 158 clinicians

Practice addresses (Care Compare)

13620 Reese Blvd E
Suite 100
Huntersville, NC 28078-6418
Phone (704) 302-9462

332 N Trade St
Suite 2000a
Matthews, NC 28105-1728
Phone (704) 302-8860

4525 Cameron Valley Pkwy
Suite 4100D
Charlotte, NC 28211-4369
Phone (980) 402-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Signature Community Services, Inc. Current Accepting new patients
Acts Signature Community Services, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 2, 2021 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 2, 2021 Accepting new patients
Atrium Health North Market Network LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310

617 Laurel Lake Dr
Columbus, NC 28722
Phone (828) 894-3000

13620 Reese Blvd E
Ste 100
Huntersville, NC 28078
Phone (704) 801-7330

740 Pavilion View Dr
Matthews, NC 28105
Phone (704) 845-5900

420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330

Interoperability endpoints

  • Direct secure messaging: hdeberry485196@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1912370958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 PLANTATION ESTATES DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059116",
            "telephone_number": "704-845-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 PLANTATION ESTATES DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059116",
            "telephone_number": "704-845-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.