MS. SUSANNE PEACOCK HAWTHORNE


Address: 200 Greenwich Rd, Charlotte, NC 28211-2316
Phone: 7043848680

MS. SUSANNE PEACOCK HAWTHORNE (NPI# 1710223409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710223409
Entity Type Individual
Full Name MS. SUSANNE PEACOCK HAWTHORNE
Credential PA - C
Practice Address 200 Greenwich Rd
Charlotte
NC 28211-2316
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043848680
Practice Fax Number 7043848684
Mailing Telephone 7043848680
Mailing Fax Number 7043848684
Enumeration Date 2012-12-27
Last Update Date 2013-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 0010-03993 NC Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
0010-03993 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 GREENWICH RD
City CHARLOTTE
State NC
Zip Code 28211-2316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518968957 Joseph Cole Mueller Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2005-08-09
1376100297 Sarah Pruitt Shore Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2019-05-27
1073043600 Ellen Greear Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2017-06-15
1679989180 Elizabeth Joy Nelson Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2014-07-03
1801917703 Susannah Van Dyke Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2007-04-02
1174652606 Keith Alan Anderson Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2007-03-02
1740236702 Novant Medical Group, Inc. Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2006-05-25
1184618282 Lori Taylor Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2005-09-02
1356335665 Michael Hoben Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2005-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351607 Michael James Blackwell Physician Assistant 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 2020-09-22
1598371320 Jonathan Byron Lively Physician Assistant 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 2020-09-17
1902415532 Jacqueline Ellen Leyrer Physician Assistant 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 2020-07-29
1750908380 Whitney Debroy Physician Assistant 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 2020-06-30
1972129302 Ashley Nicole Short Physician Assistant 1022 E Worthington Ave, Charlotte, NC 28203-5760 2020-06-22
1558985176 Courtney Claugus Physician Assistant 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 2020-05-29
1467071738 Patrick James Quinn Physician Assistant 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 2020-04-15
1225660301 Sunil Ranchhod Ghodasara Physician Assistant 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 2020-02-06
1225668601 Emily Rebecca Markey Physician Assistant 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 2020-01-24
1639719586 Abosede Elizabeth Adamson Physician Assistant 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 2020-01-08
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Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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