Individual provider Active NPI

Carol Anne Hahn, M.D.

  • Radiation Oncology Physician
  • Clayton, NC
National Provider Identifier
1982799698
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
95-00925 Issued in NC
Practice address
2076 NC Highway 42 W Ste 120
Clayton, NC 27520-5303
Phone
(919) 585-8550
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01085594A IN
Radiation Oncology Physician 2085R0001X 95-00925 NC Primary

Addresses

Primary practice location

2076 NC Highway 42 W Ste 120
Clayton, NC 27520-5303

Mailing address

4101 N Roxboro St
Durham, NC 27704-2121
Phone (919) 684-8111

Other practice location 1

4101 N Roxboro St
Durham, NC 27704-2121
Phone (919) 684-8111

Other practice location 2

2400 17th St
Columbus, IN 47201-5351
Phone (812) 376-5016

Other identifiers 1

IdentifierTypeStateIssuer
8938070MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chahn28390@edirect.crh.org
Direct Messaging Address chahn99854@direct.UNC.nchie.net Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100108000238 NC Practitioner - Radiation Oncology 4789725045 Reassigns benefits to 4 organizations
I20210518002311 IN Practitioner - Radiation Oncology 4789725045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians
Johnston Radiation Oncology LLCGroup PAC ID 7012048838, 19 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

2076 Veterans Pkwy
Suite 120
Clayton, NC 27520-8343
Phone (919) 585-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01085594AINMDRadiation Oncology Physician
95-00925NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jun 3, 2022 Accepting new patients
Community Care Network Inc CurrentSince Nov 11, 2022 Accepting new patients
Smithfield Radiation Oncology, LLC Radiation Oncology CurrentSince Oct 5, 2021 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Johnston Radiation Oncology LLC Radiation Oncology CurrentSince Oct 5, 2021 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Mar 1, 2023 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince May 1, 2021 Accepting new patients
DLP Maria Parham Physician Practices LLC Radiation Oncology CurrentSince Mar 1, 2023 Accepting new patients
Rex Hospital Inc Current Accepting new patients
Columbus Regional Health Physicians, LLC Radiation Oncology CurrentSince May 1, 2021 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jun 3, 2022 Accepting new patients
Park Ophthalmology Past Accepting new patients
Rex Hospital Inc Past Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

516 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-6862

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4420 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 784-1473

11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555

Interoperability endpoints

  • Direct secure messaging: chahn59246@direct.medicine.duke.edu
  • Direct secure messaging: chahn99854@direct.unc.nchie.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1982799698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042121",
            "telephone_number": "919-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 NC HIGHWAY 42 W STE 120",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205303",
            "telephone_number": "919-585-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 N Roxboro St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277042121",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 17th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015351",
            "country_code": "US",
            "telephone_number": "812-376-5016",
            "fax_number": "812-376-5930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01085594A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "95-00925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8938070",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chahn28390@edirect.crh.org",
            "affiliation": "N",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chahn99854@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CDA/CCD/TXT",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2076 Nc Highway 42 W Ste 120",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275205303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

Verify at the official NPI Registry.