Individual provider Active NPI

Todd David Lipphardt, PA

  • Physician Assistant
  • Highlands, NC
National Provider Identifier
1962470633
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05321 Issued in NC
Practice address
209 Hospital Drive
Suite 104
Highlands, NC 28741-7622
Phone
(828) 526-4346
Fax
(828) 526-2914
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001868 MI
Physician Assistant 363A00000X 0010-05321 NC Primary

Addresses

Primary practice location

209 Hospital Drive
Suite 104
Highlands, NC 28741-7622

Mailing address

PO Box 254
Skyland, NC 28776-0254
Phone (828) 708-9876

Other identifiers 1

IdentifierTypeStateIssuer
NCR510A194OtherNCMEDICARE PTAN

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
I20160307000703 NC Practitioner - Physician Assistant 4688701733 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Mar 23, 2020 Accepting new patients
Comprehensive Pain Consultants of the Carolinas PLLC CurrentSince Jul 1, 2017 Accepting new patients
Comprehensive Pain Consultants of the Carolinas PLLC CurrentSince Jul 1, 2017 Accepting new patients
Comprehensive Pain Consultants of the Carolinas, PLLC Past Accepting new patients
Haywood Women'S Medical Center, PA Past Accepting new patients

Locations

310 Overlook Rd
#B
Asheville, NC 28803
Phone (828) 483-4438

45 Plateau St
Bryson City, NC 28713
Phone (828) 488-2155

262 Leroy George Dr
Fl 1
Clyde, NC 28721
Phone (828) 452-8999

144 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-5057

120 Riverview St
Franklin, NC 28734
Phone (800) 627-5670

55 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-3550

81 Medical Park Loop
Ste 202
Sylva, NC 28779
Phone (828) 586-5865

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: todd.lipphardt.1@9865.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHDDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1962470633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "SKYLAND",
            "state": "NC",
            "postal_code": "287760254",
            "telephone_number": "828-708-9876",
            "fax_number": "828-708-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HOSPITAL DRIVE",
            "address_2": "SUITE 104",
            "city": "HIGHLANDS",
            "state": "NC",
            "postal_code": "287417622",
            "telephone_number": "828-526-4346",
            "fax_number": "828-526-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPHARDT",
        "first_name": "TODD",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001868",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCR510A194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands, NC

Sources for this page

Verify at the official NPI Registry.