Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Rose Hardison

Individual provider Physician Assistant · NPI 1386399152

Connor Rose Hardison is a Physician Assistant in Wilson, North Carolina. Qualified in 2022, 4 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

3724 Raleigh Road Pkwy W
Wilson, NC 27896-9742
Phone: (252) 246-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12985 (NC)

Record details

NPI number1386399152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 19, 2022
Last updated in NPPESApril 13, 2023
Certification dateMarch 27, 2023
Mailing address1222 Buxton Rd Nw, Wilson, NC 27896-2003

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wilson