Active NPI
Rya Elisabeth Lawrence, PA-C
- Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004774
- Practice address
- 4402 Shipyard Blvd
Wilmington, NC 28403-6161 - Phone
- (910) 791-0075
- Fax
- (910) 791-9674
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 5601004774 | MI | Primary |
Addresses
Primary practice location
4402 Shipyard Blvd
Wilmington, NC 28403-6161
Mailing address
4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 791-0075
Other practice location 1
2600 New Village Way
Wilmington, NC 28405-7426
Phone (910) 338-2735
Other practice location 2
5245 S College Rd
Wilmington, NC 28412-2209
Phone (910) 392-7806
Other practice location 3
8115 Market St
Wilmington, NC 28411-8427
Phone (910) 686-1972
Other practice location 4
15750 Northline Rd
Southgate, MI 48195-2378
Phone (734) 283-7511
Other practice location 5
1442 Military Cutoff Rd
Wilmington, NC 28403-3605
Phone (910) 256-6088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601004774 | Other | MI | PHYSICIAN'S ASSITANT LIC# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1442 Military Cutoff Rd
Wilmington, NC 28403-3605
Phone (910) 256-6088
2600 New Village Way
Wilmington, NC 28405-7426
Phone (910) 338-2735
4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 791-0075
5245 S College Rd
Wilmington, NC 28412-2209
Phone (910) 392-7806
8115 Market St
Suite 100
Wilmington, NC 28411-8428
Phone (910) 686-1972
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004774 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medac Health Services, PA | Current | Accepting new patients | |
| Medac Health Services, PA | Current | Accepting new patients | |
| Michigan Hematology & Oncology Institute, P.C. | Past | Accepting new patients |
Locations
8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088
4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363
5245 College Rd S
Wilmington, NC 28412
Phone (910) 347-1515
1442 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6088
8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088
2600 New Village Way
Wilmington, NC 28405
Phone (910) 251-5858
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Wilmington, NC
- NPI 1356345920
-
- Emergency Medicine Physician
- Wilmington, NC
- NPI 1346745098
-
- Medical Oncology Physician
- Southgate, MI
- NPI 1255432324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1003904129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4402 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036161",
"telephone_number": "910-791-0075",
"fax_number": "109-791-9674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036161",
"telephone_number": "910-791-0075",
"fax_number": "910-791-9674"
}
],
"practiceLocations": [
{
"address_1": "2600 New Village Way",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284057426",
"country_code": "US",
"telephone_number": "910-338-2735",
"fax_number": "910-338-2740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5245 S College Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284122209",
"country_code": "US",
"telephone_number": "910-392-7806",
"fax_number": "910-392-2428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8115 Market St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284118427",
"country_code": "US",
"telephone_number": "910-686-1972",
"fax_number": "910-686-2129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15750 Northline Rd",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952378",
"country_code": "US",
"telephone_number": "734-283-7511",
"fax_number": "734-283-6880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1442 Military Cutoff Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284033605",
"country_code": "US",
"telephone_number": "910-256-6088",
"fax_number": "910-256-6089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "RYA",
"middle_name": "ELISABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S ASSITANT LIC#",
"identifier": "5601004774",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.