Individual provider Active NPI

Lashawn Antoinette Weaver-Lee

  • Obstetrics & Gynecology Physician
  • Roanoke Rapids, NC
National Provider Identifier
1093908311
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2008-01033 Issued in NC
Practice address
1381 Medical Center Dr
Roanoke Rapids, NC 27870-5130
Phone
(252) 536-5800
Fax
(252) 519-0655
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 92569 SC
Obstetrics & Gynecology Physician 207V00000X 2008-01033 NC Primary

Addresses

Primary practice location

1381 Medical Center Dr
Roanoke Rapids, NC 27870-5130

Mailing address

168 Blackwater Dr
Winterville, NC 28590-9920

Other practice location 1

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000250 NC Practitioner - Obstetrics/Gynecology 3779650593 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, shared by 56 NPIs, 2,324 clinicians

Practice addresses (Care Compare)

105 Yadkin St
Suite 102
Albemarle, NC 28001-3458
Phone (980) 323-5330

11530 Providence Rd
Suite 1500
Charlotte, NC 28277-2691
Phone (704) 667-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
92569SCMDGastroenterology Physician
2008-01033NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Jul 26, 2025 Accepting new patients
Rural Health Group, Inc. Current Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Jan 4, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 26, 2025 Accepting new patients
Rural Health Group, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Jul 26, 2025 Accepting new patients
Rural Health Group, Inc. CurrentSince Dec 9, 2024 Accepting new patients

Locations

105 Yadkin St
Ste 102
Albemarle, NC 28001
Phone (704) 982-1590

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

101 E Wt Harris Blvd
Ste 2320
Charlotte, NC 28262
Phone (704) 547-0858

11530 Providence Rd
Ste 1500
Charlotte, NC 28277
Phone (704) 667-0760

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

1100 Healing Way
Ste 23
Matthews, NC 28104
Phone (980) 993-1725

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1381 Medical Center Dr
Roanoke Rapids, NC 27870
Phone (252) 535-1414

Interoperability endpoints

  • Direct secure messaging: lweaverlee2954535@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: lweaverlee@crhn.cernerdirect.com

Organizations & group practices 9

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1093908311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BLACKWATER DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 MEDICAL CENTER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278705130",
            "telephone_number": "252-536-5800",
            "fax_number": "252-519-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466338",
            "country_code": "US",
            "telephone_number": "910-577-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER-LEE",
        "first_name": "LASHAWN",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "92569",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2008-01033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.