| Hart Family Practice Pa | |
|
221 13th Avenue Pl Nw Hickory NC 28601-2596 | |
| (828) 322-8484 | |
| (828) 324-9526 |
| Full Name | Hart Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 221 13th Avenue Pl Nw, Hickory, North Carolina |
| Authorized Official Name and Position | Robert Eric Hart (PRESIDENT) |
| Authorized Official Contact | 8283228484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hart Family Practice Pa 221 13th Avenue Pl Nw Hickory NC 28601-2596 Ph: (828) 322-8484 | Hart Family Practice Pa 221 13th Avenue Pl Nw Hickory NC 28601-2596 Ph: (828) 322-8484 |
| NPI Number | 1033170113 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547215451 |
|---|---|
| Medicare Enrollment ID | O20050314000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033170113 | NPI | - | NPPES |
| 890198P | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 74083 (North Carolina) | Primary |
| Provider Name | Robert Eric Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326044504 PECOS PAC ID: 3870548787 Enrollment ID: I20110209000356 |
| Provider Name | Mandy M Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760754881 PECOS PAC ID: 1759540388 Enrollment ID: I20120316000571 |
| Provider Name | Sonya Mccall Suttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083112288 PECOS PAC ID: 5294096509 Enrollment ID: I20180301001835 |
| Provider Name | Dreama S Houston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598469702 PECOS PAC ID: 2567827801 Enrollment ID: I20230420001654 |
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