Active NPI
Charles W Plummer MD PA
- Anesthesiology Physician
- Lexington, NC
National Provider Identifier
1063467884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 24982
- Legal business name
- CHARLES W PLUMMER MD PA
- Practice address
- 114 W Medical Park Dr
Lexington, NC 27292-6773 - Phone
- (336) 249-8760
- Fax
- (336) 249-2710
- NPI assigned
- May 23, 2006
- Last updated
- Feb 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Penny H. Lovelace
- Title
- Office Manager
- Phone
- (336) 249-8760
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 24982 | NC | Primary |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 24982 | NC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 24982 | NC | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | NU | ||
| Pain Medicine Physician | 208VP0000X | NU |
Addresses
Primary practice location
114 W Medical Park Dr
Lexington, NC 27292-6773
Mailing address
114 W Medical Park Dr
Lexington, NC 27292-6773
Phone (336) 249-8760
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130L | Other | NC | BCBS PROVIDER NUMBER |
| 7952594 | Medicaid | NC |
Other names 1
- Randy Long, M.D., P.A.
National Provider Directory
National Provider DirectoryLocations
530 N Elam Ave
Ste C
Greensboro, NC 27403
Phone (276) 340-2360
3830 N Main St
High Point, NC 27265
Phone (336) 405-4946
Interoperability endpoints
- admin@randylongmd.e-mdsdirect.com
- carol-bosholm@randylongmd.e-mdsdirect.com
- carolyn-macdonald@randylongmd.e-mdsdirect.com
- dana-slatosky@randylongmd.e-mdsdirect.com
- derrick-newkirk@randylongmd.e-mdsdirect.com
- julie-wallace@randylongmd.e-mdsdirect.com
- karen-puckett@randylongmd.e-mdsdirect.com
- lauren-mcrae@randylongmd.e-mdsdirect.com
- lisa-williams-corbin@randylongmd.e-mdsdirect.com
- melanie-webb@randylongmd.e-mdsdirect.com
- nantachie-chavis@randylongmd.e-mdsdirect.com
- orlando-vega@randylongmd.e-mdsdirect.com
- randy-long@randylongmd.e-mdsdirect.com
- richard-pavelock-1@randylongmd.e-mdsdirect.com
- richard-pavelock@randylongmd.e-mdsdirect.com
- samuel-patterson@randylongmd.e-mdsdirect.com
- teena-harrison@randylongmd.e-mdsdirect.com
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1114108917
-
- Physician Assistant
- Burnsville, NC
- NPI 1447635438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487808000000",
"number": "1063467884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 W MEDICAL PARK DR",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272926773",
"telephone_number": "336-249-8760",
"fax_number": "336-249-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 W MEDICAL PARK DR",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272926773",
"telephone_number": "336-249-8760",
"fax_number": "336-249-2710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES W PLUMMER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2017-02-23",
"status": "A",
"authorized_official_last_name": "LOVELACE",
"authorized_official_first_name": "PENNY",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "336-249-8760",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "24982",
"primary": true
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "NC",
"license": "24982",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "24982",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0130L",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7952594",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Randy Long, M.D., P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.