Active NPI
Elizabeth D. Lord, PA-C
- Physician Assistant
- Rocky Mount, NC
National Provider Identifier
1003083536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103067
- Practice address
- 100 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400 - Phone
- (252) 451-3100
- Fax
- (252) 451-3141
- NPI assigned
- May 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103067 | NC | Primary |
Addresses
Primary practice location
100 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400
Mailing address
840 Old County Home Rd
Nashville, NC 27856-9171
Phone (252) 459-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P21267 | Other | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103067 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reidsville Community Physicians Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Reidsville, NC
- NPI 1699711572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1003083536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 OLD COUNTY HOME RD",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278569171",
"telephone_number": "252-459-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NASH MEDICAL ARTS MALL",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041400",
"telephone_number": "252-451-3100",
"fax_number": "252-451-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "ELIZABETH",
"middle_name": "D.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "P21267",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.