Individual provider Active NPI

Amber Lavin, PA-C

  • Physician Assistant
  • Spring Lake, NC
National Provider Identifier
1083484901
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
517 NC 210 N
Spring Lake, NC 28390-2709
Phone
(910) 436-0777
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

517 NC 210 N
Spring Lake, NC 28390-2709

Mailing address

517 NC 210 N
Spring Lake, NC 28390-2709
Phone (910) 436-0777

Other practice location 1

1841 Quiet Cv
Fayetteville, NC 28304-3985
Phone (910) 829-6588

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
I20240821002842 NC Practitioner - Physician Assistant 7315485372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain Center PLLCGroup PAC ID 9537071238, 6 clinicians

Practice addresses (Care Compare)

2153 Valleygate Dr
Suite 102
Fayetteville, NC 28304-3667
Phone (910) 321-7246

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Center PLLC CurrentSince Jun 2, 2024 Accepting new patients
Interventional Pain Center, PLLC CurrentSince Jun 2, 2024 Accepting new patients
Rao Clinic PLLC Physician Assistant PastSince Apr 14, 2024 Accepting new patients

Locations

2153 Valleygate Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 321-7246

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1083484901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 NC 210 N",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902709",
            "telephone_number": "910-436-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 NC 210 N",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902709",
            "telephone_number": "910-436-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Quiet Cv",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043985",
            "country_code": "US",
            "telephone_number": "910-829-6588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIN",
        "first_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

Verify at the official NPI Registry.