MEDICARE: DR. SUSAN JEAN HINES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	2000-00229	NC
2	207RH0003X	Hematology & Oncology Physician	2000-00229	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	900004457	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	37156	OTHER		PARTNERS NATIONAL HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	126FM	OTHER	NC	BLUE CROSS BLUE SHIELD
6	4474243	OTHER		AETNA PPO
7	3097131	OTHER		AETNA HMO
8	3608287	OTHER		UNITED HEALTH CARE

General Provider Information

NPI Number	:	1619947215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN JEAN HINES

Provider Business Mailing Address
First Line	:	PO BOX 751803
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 CAUDLE DR STE 200
Second Line	:
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-4322
Country	:	US
Telephone Number	:	336-783-6935
Fax Number	:	336-783-6934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	11/16/2024

Similar Medicare Providers

1821068768 — SALLIE LYNN STALEY PA-C
Practice Location Address:

1908 CAUDLE DR STE 200
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-783-6935
Practice Fax: 336-783-6934

1356315113 — KARIN FRANCES GIORDANO M.D.
Practice Location Address:

1908 CAUDLE DR STE 200
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-783-6935
Practice Fax:

1396161550 — SHERRY HINSON PA
Practice Location Address:

1908 CAUDLE DR STE 105
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-883-0029
Practice Fax: 336-756-7903

1730687476 — DANIEL DEAN WATSON NP
Practice Location Address:

1908 CAUDLE DR STE 100
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-883-0029
Practice Fax: 336-883-0867

1770056400 — MEDICAL INNOVATIONS CONCEPTS, P.C.
Practice Location Address:

1908 CAUDLE DR STE 100
MOUNT AIRY, NC
27030-4322

Practice Phone: 704-890-8080
Practice Fax:

1528525839 — BETHANY MEDICAL CENTER
Practice Location Address:

1908 CAUDLE DR STE 105
MOUNT AIRY, NC
27030-4322

Practice Phone: 336-883-0029
Practice Fax: 336-883-0867

Directions to “ DR. SUSAN JEAN HINES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.