Active NPI
Hendersonville Pediatrics, P.a.
- Specialist
- Hendersonville, NC
National Provider Identifier
1912966656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- HENDERSONVILLE PEDIATRICS, P.A.
- Practice address
- 600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305 - Phone
- (828) 693-3296
- Fax
- (828) 696-3530
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tamara Hyder
- Title
- Practice Manager
- Phone
- (828) 693-3296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305
Mailing address
600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305
Phone (828) 693-3296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01764 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0247800 | Hendersonville Pediatrics - Hendersonville | Accreditation | Jan 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
159 Medical Park Dr
Ste A
Brevard, NC 28712
157 Medical Park Dr
Ste A
Brevard, NC 28712
157 Medical Park Dr
Bldg 3
Brevard, NC 28712
Phone (828) 884-3440
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Hendersonville, NC
- NPI 1770011033
-
- Registered Dietitian
- Asheville, NC
- NPI 1780279810
-
- Pediatrics Physician
- Hendersonville, NC
- NPI 1700846854
-
- Pediatrics Physician
- Brevard, NC
- NPI 1124355326
-
- Pediatrics Physician
- Hendersonville, NC
- NPI 1467508044
-
- Pediatrics Physician
- Hendersonville, NC
- NPI 1184684201
-
- Pediatrics Physician
- Biloxi, MS
- NPI 1457319360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912966656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BEVERLY HANKS CTR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287922305",
"telephone_number": "828-693-3296",
"fax_number": "828-696-3530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BEVERLY HANKS CTR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287922305",
"telephone_number": "828-693-3296",
"fax_number": "828-696-3530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDERSONVILLE PEDIATRICS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HYDER",
"authorized_official_first_name": "TAMARA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "828-693-3296",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01764",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
- Hendersonville OB-GYN Associates, P.a.
- Hendersonville Operating Al, LLC
- Hendersonville Opticians
- Hendersonville Orthopeadics, PLLC
- Hendersonville Pediatric Dentistry
- Hendersonville Radiological Consultants, P.a.
- Hendersonville Surgical Associates, PLLC
- Hendersonville Urgent Care PC
- Marcia A Hendrix, MS, CCC-SLP
- Jade Ashley Henke
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.