UNC HEALTH HICKORY MEDICAL PARK
NPI 1417661976
Internal Medicine in Hickory, NC

Active since January 10, 2023CLIA 34D1063966 · Microscopy
30 13TH AVE NW, HICKORY, NC 28601(828) 324-0100 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Unc Health Hickory Medical Park NPPES

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

UNC HEALTH HICKORY MEDICAL PARK (NPI 1417661976) is a healthcare organization registered as an internal medicine in Hickory, North Carolina and active in the NPI registry since January 2023. The organization holds a CLIA Microscopy certificate valid through January 24, 2027 and lists Karen Shadowens, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417661976
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCALDWELL MEMORIAL HOSPITAL, INC.
Location Address30 13TH AVE NWHickory, NC 28601-3765
Mailing Address321 Mulberry St SwLenoir, NC 28645-5720 · (828) 757-5100
Organization SubpartYes
Authorized OfficialKaren ShadowensCfo · (336) 627-8512
Enumeration DateJanuary 10, 2023
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1417661976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 13TH AVE NW, Hickory, NC 28601

Other Names 1

Doing Business AsUnc Health Hickory Medical Park

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Unc Health Hickory Medical Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Unc Health Hickory Medical Park, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner10
Family Practice8
Internal Medicine7
Clinical Social Worker1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 27
Nurse Practitioner
NPI 1437493954
30 13TH AVE NW
Hickory, NC 28601
(828) 324-0100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1316113160
221 13TH AVENUE PL NW STE 101
Hickory, NC 28601
(828) 322-8484
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1295757318
915 TATE BLVD SE SUITE 170
Hickory, NC 28602
(828) 345-0800
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1356016497
160 RIVER BEND DR STE A
Granite Falls, NC 28630
(828) 757-5060
✔ PECOS✔ Accepts Medicare3.6 mi
Nurse Practitioner
NPI 1942993324
2330 BROOKFORD BLVD
Hickory, NC 28602
(828) 330-2103
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1639585151
4355 HICKORY BLVD
Granite Falls, NC 28630
(828) 757-5060
✔ PECOS✔ Accepts Medicare5.3 mi
Internal Medicine
NPI 1942590963
4355 HICKORY BLVD UPPR SUITE1
Granite Falls, NC 28630
(828) 757-8251
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1710153515
270 PINE MOUNTAIN RD SUITE 2
Hudson, NC 28638
(828) 757-6330
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1104285030
270 PINE MOUNTAIN RD STE 2
Hudson, NC 28638
(828) 757-6330
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1811758543
270 PINE MOUNTAIN RD
Hudson, NC 28638
(828) 757-6330
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1578591988
1731 CONNELLY SPRINGS RD
Lenoir, NC 28645
(828) 757-6300
✔ PECOS✔ Accepts Medicare13 mi
Registered Dietitian or Nutrition Professional
NPI 1003228875
1031 MORGANTON BLVD SW QUEST4LIFE
Lenoir, NC 28645
(828) 757-6450
15 mi
Family Practice
NPI 1962996942
321 MULBERRY ST SW
Lenoir, NC 28645
(828) 757-5504
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1982014478
322 MULBERRY ST SW STE A
Lenoir, NC 28645
(828) 757-6400
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1750940300
322 MULBERRY ST SW STE A
Lenoir, NC 28645
(828) 757-6400
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1144268616
322 MULBERRY ST SW SUITE A
Lenoir, NC 28645
(828) 757-6400
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1205298338
322 MULBERRY ST SW STE A
Lenoir, NC 28645
(828) 757-6400
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1427086743
2651 MORGANTON BLVD SW
Lenoir, NC 28645
(828) 759-2000
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1093254567
2651 MORGANTON BLVD SW
Lenoir, NC 28645
(828) 757-8950
✔ PECOS✔ Accepts Medicare17 mi
Internal Medicine
NPI 1114311966
111 FOOTHILLS DR STE B
Morganton, NC 28655
(828) 580-5706
✔ PECOS✔ Accepts Medicare18 mi
See all 27 clinicians

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) 34D1063966

Unc Health Hickory Medical Park · Hickory, NC
Active · expires Jan 24, 2027
CLIA Number34D1063966
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorMichael L. Rewis II
Laboratory Phone(828) 324-0100
Laboratory LocationUnc Health Hickory Medical Park30 13th Ave NW, Hickory, NC 28601
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 Caldwell Memorial Hospital, Inc.'s NPI number?

The NPI number for Caldwell Memorial Hospital, Inc. is 1417661976. It was assigned to this organization in the NPPES registry on January 10, 2023. The provider is doing business as Unc Health Hickory Medical Park.

Where is Caldwell Memorial Hospital, Inc. located?

Caldwell Memorial Hospital, Inc. is located at 30 13th Ave NW, Hickory, NC 28601. The listed phone number is (828) 324-0100.

What is Caldwell Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Caldwell Memorial Hospital, Inc. enrolled in Medicare?

Yes. Caldwell Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Caldwell Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 5 Medicare specialties reassign their Medicare billing to Caldwell Memorial Hospital, Inc.. 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. The largest specialties are Nurse Practitioner (10), Family Practice (8) and Internal Medicine (7). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Caldwell Memorial Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1063966) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caldwell Memorial Hospital, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC list Caldwell Memorial Hospital, Inc. 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 Caldwell Memorial Hospital, Inc. was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.