Lavette M Shirley Elee, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03734 Issued in NC

Practice address

420 Park St
Belmont, NC 28012-3393

Phone

(704) 631-1820

Fax

(704) 825-5443

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• DRX High Point, PLLC

  • Multi-Specialty Clinic/Center
  • High Point, NC
  • NPI 1669701306
  Medicare reassignment
• SCRN LLC

  • Urgent Care Clinic/Center
  • Monroe, NC
  • NPI 1487181897
  Medicare reassignment

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1053669663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602148",
            "telephone_number": "704-631-1820",
            "fax_number": "704-825-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PARK ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123393",
            "telephone_number": "704-631-1820",
            "fax_number": "704-825-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY ELEE",
        "first_name": "LAVETTE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053669663",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serendipity Therapy, PLLC
• Serendipity Therapy, PLLC
• Sunny Bakalli Severance, FNP-C
• Lindsay McDermott Shearer, PHD, LPC, NCC
• Shepherd Way Counseling Associates
• Shiv Pharmacy Inc.
• Alexa Carpenter Shull, FNP
• Ella Chandler Sigmon
• Chad Martin Silverstrim, PTA
• Shaunese Derae Singleton, M.D.

• Physician Assistant in Belmont, NC
• Providers in Belmont, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.