Active NPI
Laura Ann Levin, MD
- Pediatrics Physician
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9400896
- Practice address
- 1085 NE Gateway CT NE
Ste 290
Concord, NC 28025-2406 - Phone
- (704) 403-4650
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 9400896 | NC | |
| Pediatrics Physician | 208000000X | 9400896 | NC | Primary |
Addresses
Primary practice location
1085 NE Gateway CT NE
Ste 290
Concord, NC 28025-2406
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1312 Westgate Center Dr
Winston Salem, NC 27103-2933
Phone (336) 775-6686
Other practice location 2
3541 Randolph Rd
Ste 206
Charlotte, NC 28211-1082
Phone (704) 381-8336
Other practice location 3
2301 US Highway 74 W
Wadesboro, NC 28170-7554
Phone (704) 994-4500
Other practice location 4
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
Other practice location 5
1100 Blythe Blvd
Charlotte, NC 28203-5814
Phone (704) 355-4300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | llevin128534@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advancing Forward Healthcare | Current | Accepting new patients |
Locations
1312 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 775-6686
Interoperability endpoints
- llevin128534@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 1
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.
-
- Addiction Medicine (Preventive Medicine) Physician
- Winston Salem, NC
- NPI 1538840285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1083685754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 NE GATEWAY CT NE",
"address_2": "STE 290",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252406",
"telephone_number": "704-403-4650"
}
],
"practiceLocations": [
{
"address_1": "1312 Westgate Center Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271032933",
"country_code": "US",
"telephone_number": "336-775-6686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3541 Randolph Rd",
"address_2": "Ste 206",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111082",
"country_code": "US",
"telephone_number": "704-381-8336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 US Highway 74 W",
"address_purpose": "LOCATION",
"city": "Wadesboro",
"state": "NC",
"postal_code": "281707554",
"country_code": "US",
"telephone_number": "704-994-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-355-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035814",
"country_code": "US",
"telephone_number": "704-355-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVIN",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NC",
"license": "9400896",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "9400896",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "llevin128534@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1085 NE Gateway Ct NE",
"address_2": "Ste 290",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280252406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.