NPIMap

Individual provider Active NPI

David Floyd Hoag II, PA-C

  • Physician Assistant
  • Hampstead, NC
National Provider Identifier
1962478081
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01001 Issued in NC
Practice address
16150 US Highway 17 Ste C
Hampstead, NC 28443-6302
Phone
(910) 319-9954
Fax
(910) 319-9955
NPI assigned
Feb 28, 2006
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 0010-01001 NC Primary
Family Medicine Physician 207Q00000X 0010-01001 NC

Addresses

Primary practice location

16150 US Highway 17 Ste C
Hampstead, NC 28443-6302

Mailing address

16150 US Highway 17 Ste C
Hampstead, NC 28443-6302
Phone (910) 319-9954

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
I20080902000408 NC Practitioner - Physician Assistant 6103714332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16150 US Hwy 17
Suite C
Hampstead, NC 28443-6302
Phone 91031999541

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Oct 15, 2016 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 15, 2016 Accepting new patients
Physician Healthcare Network, PC Past Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

110 Eastwood Dr
Wallace, NC 28466
Phone (910) 285-2330

Interoperability endpoints

  • Direct secure messaging: david.hoag.1@24567.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4

Organizations & group practices 7

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 1

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1962478081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 US HIGHWAY 17 STE C",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284436302",
            "telephone_number": "910-319-9954",
            "fax_number": "910-319-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 US HIGHWAY 17 STE C",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284436302",
            "telephone_number": "910-319-9954",
            "fax_number": "910-319-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAG",
        "first_name": "DAVID",
        "middle_name": "FLOYD",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01001",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0010-01001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

Verify at the official NPI Registry.