Healthcare Provider Details

I. General information

NPI: 1851218341
Provider Name (Legal Business Name): HNR HEALTH SYSTEM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 GRANVILLE CORS STE B
OXFORD NC
27565-4009
US

IV. Provider business mailing address

6409 FAYETTEVILLE RD STE 120323
DURHAM NC
27713-6297
US

V. Phone/Fax

Practice location:
  • Phone: 984-307-4787
  • Fax:
Mailing address:
  • Phone: 984-307-4787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SHUMATE SR.
Title or Position: COO
Credential:
Phone: 984-307-4787