Individual provider Active NPI

Elizabeth Ann Wright, MD

  • Neurology Physician
  • Statesville, NC
National Provider Identifier
1023085131
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
15866 Issued in NC
Practice address
276 Old Mocksville Rd
Suite 500
Statesville, NC 28625-1949
Phone
(704) 878-6467
Fax
(704) 878-6467
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 15866 NC Primary

Addresses

Primary practice location

276 Old Mocksville Rd
Suite 500
Statesville, NC 28625-1949

Mailing address

276 Old Mocksville Rd
Suite 500
Statesville, NC 28625-1949
Phone (704) 878-6467

Other identifiers 1

IdentifierTypeStateIssuer
8988331MedicaidNC

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15866NCMDPharmacist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14743/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1023085131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 OLD MOCKSVILLE RD",
            "address_2": "SUITE 500",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251949",
            "telephone_number": "704-878-6467",
            "fax_number": "704-878-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 OLD MOCKSVILLE RD",
            "address_2": "SUITE 500",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251949",
            "telephone_number": "704-878-6467",
            "fax_number": "704-878-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "15866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988331",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.