HAZELWOOD FAMILY MEDICINE, PLLC
NPI 1023124575
Family Medicine in Waynesville, NC

Active since August 21, 2006
1088 BROWN AVE, WAYNESVILLE, NC 28786(828) 456-2828(828) 456-8903 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hazelwood Family Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZELWOOD FAMILY MEDICINE, PLLC (NPI 1023124575) is a healthcare organization registered as a family medicine in Waynesville, North Carolina and active in the NPI registry since August 2006. The organization lists Linda Arrington Rich, Insurance Secretary, as its authorized official.

NPPES Registry Identity

NPI1023124575
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHAZELWOOD FAMILY MEDICINE, PLLC
Location Address1088 BROWN AVEWaynesville, NC 28786-1918
Mailing Address1088 Brown AveWaynesville, NC 28786-1918 · (828) 456-2828 · Fax (828) 456-8903
Fax(828) 456-8903
Organization SubpartNo
Authorized OfficialLinda Arrington RichInsurance Secretary · (828) 456-2828
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023124575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1088 BROWN AVE, Waynesville, NC 28786

Other Identifiers 2

Medicaid89012KKNC
Other012KKNC · Bcbs Of Nc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hazelwood Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Hazelwood Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1720714330
1088 BROWN AVE
Waynesville, NC 28786
(828) 456-2828
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306874276
1088 BROWN AVE
Waynesville, NC 28786
(828) 456-2828
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225171432
12 GRINDSTAFF COVE RD
Sylva, NC 28779
(828) 586-0807
✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1007288

Hazelwood Family Medicine · Waynesville, NC
Expired · Sep 30, 2026
CLIA Number34D1007288
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorMichael A. Brown MD
Laboratory Phone(828) 456-2828
Laboratory LocationHazelwood Family Medicine1088 Brown Avenue, Waynesville, NC 28786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazelwood Family Medicine, PLLC's NPI number?

The NPI number for Hazelwood Family Medicine, PLLC is 1023124575. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Hazelwood Family Medicine, PLLC located?

Hazelwood Family Medicine, PLLC is located at 1088 Brown Ave, Waynesville, NC 28786. The listed phone number is (828) 456-2828.

What is Hazelwood Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hazelwood Family Medicine, PLLC enrolled in Medicare?

Yes. Hazelwood Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hazelwood Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Hazelwood Family Medicine, PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hazelwood Family Medicine, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.