| Hopscotch Primary Care Group, Pa | |
|
113 E Grover St Shelby NC 28150-3803 | |
| (704) 487-5228 | |
| (704) 482-4284 |
| Full Name | Hopscotch Primary Care Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 113 E Grover St, Shelby, North Carolina |
| Authorized Official Name and Position | Thirath Chau (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3378604721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopscotch Primary Care Group, Pa 113 E Grover St Shelby NC 28150-3803 Ph: (704) 487-5228 | Hopscotch Primary Care Group, Pa 113 E Grover St Shelby NC 28150-3803 Ph: (704) 487-5228 |
| NPI Number | 1831306992 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 02/19/2025 |
| Medicare PECOS PAC ID | 4587658075 |
|---|---|
| Medicare Enrollment ID | O20040408000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831306992 | NPI | - | NPPES |
| 8947324 | Medicaid | NC | |
| 8947300 | Medicaid | NC | |
| 89126G9 | Medicaid | NC | |
| 891282M | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | (* (Not Available)) | Secondary |
| Provider Name | Stephen Watson Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730130881 PECOS PAC ID: 4183528250 Enrollment ID: I20031120000711 |
| Provider Name | Teresa I Mcswain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881672491 PECOS PAC ID: 9931004538 Enrollment ID: I20031205000582 |
| Provider Name | Timothy P Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164432399 PECOS PAC ID: 1850280785 Enrollment ID: I20040310001506 |
| Provider Name | Mitsuko Merikaton Stella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538141866 PECOS PAC ID: 0547234692 Enrollment ID: I20040824000639 |
| Provider Name | Chad Eric Smoker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932193380 PECOS PAC ID: 5597721514 Enrollment ID: I20041203000697 |
| Provider Name | Leslie Ann Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964297 PECOS PAC ID: 9830091735 Enrollment ID: I20050628001141 |
| Provider Name | Gregory Michael Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740363704 PECOS PAC ID: 2668408477 Enrollment ID: I20051205000478 |
| Provider Name | Robyn Ann Latessa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376505784 PECOS PAC ID: 6901934595 Enrollment ID: I20100430000597 |
| Provider Name | Betty Morehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033189253 PECOS PAC ID: 6002098738 Enrollment ID: I20110316000653 |
| Provider Name | Amy Jo Santin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184829855 PECOS PAC ID: 8022293935 Enrollment ID: I20110419000540 |
| Provider Name | Michelle Buchanan Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033573506 PECOS PAC ID: 6002106762 Enrollment ID: I20160608001392 |
| Provider Name | Elizabeth A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235580630 PECOS PAC ID: 3577850577 Enrollment ID: I20160919002222 |
| Provider Name | Thirath Chau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285896720 PECOS PAC ID: 4789854423 Enrollment ID: I20191204000930 |
| Provider Name | Kassidy Shea Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457950818 PECOS PAC ID: 4587075239 Enrollment ID: I20201201002258 |
| Provider Name | Tabitha Silvers Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467066118 PECOS PAC ID: 6507267689 Enrollment ID: I20210628000135 |
| Provider Name | Kari C Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720751308 PECOS PAC ID: 2163828211 Enrollment ID: I20210915000950 |
| Provider Name | Stephen E Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689171886 PECOS PAC ID: 1355698275 Enrollment ID: I20211027002260 |
| Provider Name | Morgan Sisk Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386314342 PECOS PAC ID: 9335538875 Enrollment ID: I20211122003059 |
| Provider Name | Megan R Vestal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952011926 PECOS PAC ID: 6800268970 Enrollment ID: I20230218000573 |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W Grover St, Shelby, NC 28150 Phone: 980-487-1900 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 137 S Post Rd, Shelby, NC 28152 Phone: 704-669-6000 | |
Shelby Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 N Dekalb St, Shelby, NC 28150 Phone: 704-482-1482 Fax: 704-480-6012 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Schenck St, Shelby, NC 28150 Phone: 704-480-9344 | |
Gaston Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Post Rd, Shelby, NC 28152 Phone: 980-484-5153 | |
Carolinas Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Grover St Ste 2000, Shelby, NC 28150 Phone: 980-487-3022 Fax: 704-446-3575 | |
The Charlotte-mecklenburg Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-7427 |