Individual provider Active NPI

Lindsay Erin Coburn Salter, P.A.

  • Physician Assistant
  • Wilson, NC
National Provider Identifier
1073704144
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02133 Issued in NC
Practice address
130 Glendale Dr W
Wilson, NC 27893-2770
Phone
(252) 399-7557
Fax
(252) 399-1324
NPI assigned
Aug 5, 2007
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02133 NC Primary
Medical Physician Assistant 363AM0700X 0110002549 VA

Addresses

Primary practice location

130 Glendale Dr W
Wilson, NC 27893-2770

Mailing address

130 Glendale Dr W
Wilson, NC 27893-2770
Phone (252) 399-7557

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lsalter336085@direct.UNC.nchie.net Direct

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
I20100206000026 NC Practitioner - Physician Assistant 3173611076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

130 Glendale Dr W
Wilson, NC 27893-2770
Phone (252) 399-7557

1701 Medical Park Dr W
Wilson, NC 27893-2788
Phone (252) 399-5302

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8040

1709 Medical Park Dr W
Wilson, NC 27893-2788
Phone (252) 237-5649

4420 Lake Boone TRL
Raleigh, NC 27607-7505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110002549VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Surgical Associates PA Current Accepting new patients
Tidewater Emergency Medical Care Physician Assistant PastSince Feb 2, 2020 Accepting new patients

Locations

130 Glendale Dr W
Wilson, NC 27893
Phone (252) 234-9469

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1073704144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GLENDALE DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932770",
            "telephone_number": "252-399-7557",
            "fax_number": "252-399-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GLENDALE DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932770",
            "telephone_number": "252-399-7557",
            "fax_number": "252-399-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN SALTER",
        "first_name": "LINDSAY",
        "middle_name": "ERIN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02133",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lsalter336085@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "130 Glendale Dr W",
            "city": "Wilson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278932770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.