Active NPI
Coty Lamar Brayboy, DNP, MPH, FNP-C
- Nurse Practitioner
- Kannapolis, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5020423
- Practice address
- 1706 S Cannon Blvd Ste 101
Kannapolis, NC 28083-6104 - Phone
- (704) 933-2273
- NPI assigned
- Aug 25, 2022
- Last updated
- Mar 12, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5020423 | NC | Primary |
Addresses
Primary practice location
1706 S Cannon Blvd Ste 101
Kannapolis, NC 28083-6104
Mailing address
1706 S Cannon Blvd Ste 101
Kannapolis, NC 28083-6104
Phone (704) 933-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1706 S Cannon Blvd
Suite 101
Kannapolis, NC 28083-6104
Phone (704) 933-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020423 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indycare Carelink PC | Current | Accepting new patients | |
| Indycare Medical North Carolina | Current | Accepting new patients |
Locations
1800 Main St
Gowrie, IA 50543
Phone (515) 352-3876
601 State Route 28 E
Owensville, MO 65066
Phone (573) 437-3440
110 Boone Square St
Ste 29A
Hillsborough, NC 27278
Phone (919) 245-1213
1706 S Cannon Blvd
Ste 100
Kannapolis, NC 28083
1706 S Cannon Blvd
Ste 101
Kannapolis, NC 28083
Phone (703) 933-2273
Interoperability endpoints
- coty.brayboy.1@18181.direct.athenahealth.com
- coty.brayboy.3@18181.direct.athenahealth.com
- https://api.platform.athenahealth.com/18181/brand/1/csg/121/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IndyCare Hillsborough
- Internal Medicine Physician
- Kannapolis, NC
- NPI 1548740038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1033838669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 S CANNON BLVD STE 101",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836104",
"telephone_number": "704-933-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 S CANNON BLVD STE 101",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280836104",
"telephone_number": "704-933-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAYBOY",
"first_name": "COTY",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"credential": "DNP, MPH, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-25",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5020423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.