SIMPLECLINIC PLLC
NPI 1164887873
Nurse Practitioner - Primary Care in Eastover, NC

Active since December 22, 2015CLIA 34D2122092 · Microscopy
3551 DUNN RD STE 101, EASTOVER, NC 28312(910) 483-6277 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 5, 2025, Aug 14, 2024, Jan 26, 2022 and 1 more (4 updates tracked since 2015).

About Simpleclinic Pllc NPPES

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

SIMPLECLINIC PLLC (NPI 1164887873) is a healthcare organization registered as a primary care in Eastover, North Carolina and active in the NPI registry since December 2015. The organization holds a CLIA Microscopy certificate valid through November 17, 2026, maintains 2 additional practice locations, and lists Jonathan Daniel Hancock, Owner, as its authorized official.

NPPES Registry Identity

NPI1164887873
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameSIMPLECLINIC PLLC
Location Address3551 DUNN RD STE 101Eastover, NC 28312-9417
Mailing AddressPo Box 727Stedman, NC 28391-0727 · (910) 489-1326
Organization SubpartNo
Authorized OfficialJonathan Daniel HancockOwner · (910) 491-4530
Enumeration DateDecember 22, 2015
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1164887873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NC · 201679
3551 DUNN RD STE 101, Eastover, NC 28312

Secondary Practice Locations 2

Location 11515 Sunset AveClinton, NC 28328-3827 · Phone (910) 491-9418
Location 22414 Hope Mills RdFayetteville, NC 28304-4264 · Phone (910) 437-9905 · Fax (910) 500-3171

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

Accepted Insurance

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) 34D2122092

Simpleclinic, PLLC · Eastover, NC
Active · expires Nov 17, 2026
CLIA Number34D2122092
Laboratory TypePractitioner Other
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorJonathan Hancock
Laboratory Phone(910) 491-4530
Laboratory LocationSimpleclinic, PLLC3551 Dunn Rd Suite 101, Eastover, NC 28312
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3551 DUNN RD STE 101
EASTOVER, NC 28312
Family Medicine
3551 DUNN RD STE 101
EASTOVER, NC 28312
Nurse Practitioner (Adult Health)
3551 DUNN RD STE 101
EASTOVER, NC 28312
Nurse Practitioner (Family)
3551 DUNN RD STE 101
EASTOVER, NC 28312

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 Simpleclinic PLLC's NPI number?

The NPI number for Simpleclinic PLLC is 1164887873. It was assigned to this organization in the NPPES registry on December 22, 2015.

Where is Simpleclinic PLLC located?

Simpleclinic PLLC is located at 3551 Dunn Rd Ste 101, Eastover, NC 28312. The listed phone number is (910) 483-6277.

What is Simpleclinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Simpleclinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2122092) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Simpleclinic PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Simpleclinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simpleclinic PLLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.