Todd Stewart Hansen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9701385 Issued in NC

Practice address

3050 Riverwood Pkwy
Suite B
Gastonia, NC 28056-6001

Phone

(704) 865-1749

Fax

(704) 865-7328

NPI assigned

Sep 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Alabama School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
• Hospice & Palliative Care Charlotte Region Hospice, Charlotte, NC, CCN 341500
• Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment Care Compare group NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1982883583
  NPD

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

• Gaston Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Gastonia, NC
  • NPI 1013918960
  Care Compare affiliation
• Hospice & Palliative Care Charlotte Region

  • Community Based Hospice Care Agency
  • Charlotte, NC
  • NPI 1548398720
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Shelby, NC
  • NPI 1649203431
  Care Compare affiliation

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

{
    "created_epoch": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1992792642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 RIVERWOOD PKWY",
            "address_2": "SUITE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566001",
            "telephone_number": "704-865-1749",
            "fax_number": "704-865-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RIVERWOOD PKWY",
            "address_2": "SUITE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566001",
            "telephone_number": "704-865-1749",
            "fax_number": "704-865-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "TODD",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9701385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N01385",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891215H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Hannon
• Justin Parkes Hannon, DDS, MS
• Hannon, PLLC
• Stephanie Ann Theresa Hannon, DDS, MS
• Stephen Joseph Hannon II, DDS, MS
• Latoya Hansley, FNP-C
• Geoffrey Lance Hardin, PA-C
• Harrell Dean Hardin, DC
• Bryce Evan Harding
• James Kristin Harley, D.O.

• Family Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.