Individual provider Active NPI

Lisa Kight Edmonds, FNP-C

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1073367108
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020489 Issued in NC
Practice address
5150 Queensway Rd
Winston Salem, NC 27127-7344
Phone
(828) 206-1627
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5020489 NC Primary
Registered Nurse 163W00000X 188386 NC

Addresses

Primary practice location

5150 Queensway Rd
Winston Salem, NC 27127-7344

Mailing address

5150 Queensway Rd
Winston Salem, NC 27127-7344
Phone (828) 206-1627

Other names 1

  • Lisa Kight Edmonds Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241023002128 NC Practitioner - Nurse Practitioner 0840723318 Reassigns benefits to 5 organizations

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
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

100 Silver Bluff Dr
Canton, NC 28716-6350
Phone (248) 660-1220

218 Laurel Creek CT
Spruce Pine, NC 28777-3134
Phone (828) 765-7312

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
188386NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
NM Pacs 2 LLC CurrentSince Feb 2, 2026 Accepting new patients
Theoria Medical CurrentSince Jul 7, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Feb 2, 2026 Accepting new patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Oct 30, 2025 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Feb 2, 2026 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Feb 2, 2026 Accepting new patients
Theoria Medical Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

100 Silver Bluff Dr
Canton, NC 28716
Phone (828) 648-2004

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

215 College St
Graham, NC 27253
Phone (336) 228-8394

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

225 White St
Jacksonville, NC 28546
Phone (910) 353-7222

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

1010 Lakeview Dr
Pineville, NC 28134
Phone (704) 889-2273

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

218 Laurel Creek Ct
Spruce Pine, NC 28777
Phone (828) 682-0200

33 Christian Ave
Concord, NH 03301
Phone (603) 224-5363

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1073367108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 QUEENSWAY RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277344",
            "telephone_number": "828-206-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 QUEENSWAY RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277344",
            "telephone_number": "828-206-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "LISA",
        "middle_name": "KIGHT",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020489",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "188386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "EDMONDS",
            "middle_name": "KIGHT",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.