Organization Active NPI

Charles W Plummer MD PA

  • Anesthesiology Physician
  • Lexington, NC
National Provider Identifier
1063467884
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
24982 Issued in NC
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0130LOtherNCBCBS PROVIDER NUMBER
7952594MedicaidNC

Other names 1

  • Randy Long, M.D., P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: admin@randylongmd.e-mdsdirect.com
  • Direct secure messaging: carol-bosholm@randylongmd.e-mdsdirect.com
  • Direct secure messaging: carolyn-macdonald@randylongmd.e-mdsdirect.com
  • Direct secure messaging: dana-slatosky@randylongmd.e-mdsdirect.com
  • Direct secure messaging: derrick-newkirk@randylongmd.e-mdsdirect.com
  • Direct secure messaging: julie-wallace@randylongmd.e-mdsdirect.com
  • Direct secure messaging: karen-puckett@randylongmd.e-mdsdirect.com
  • Direct secure messaging: lauren-mcrae@randylongmd.e-mdsdirect.com
  • Direct secure messaging: lisa-williams-corbin@randylongmd.e-mdsdirect.com
  • Direct secure messaging: melanie-webb@randylongmd.e-mdsdirect.com
  • Direct secure messaging: nantachie-chavis@randylongmd.e-mdsdirect.com
  • Direct secure messaging: orlando-vega@randylongmd.e-mdsdirect.com
  • Direct secure messaging: randy-long@randylongmd.e-mdsdirect.com
  • Direct secure messaging: richard-pavelock-1@randylongmd.e-mdsdirect.com
  • Direct secure messaging: richard-pavelock@randylongmd.e-mdsdirect.com
  • Direct secure messaging: samuel-patterson@randylongmd.e-mdsdirect.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.