Organization Active NPI

Lenoir Physicians Network LLC

Doing business as Lenoir Neurology

  • Neurology Physician
  • Kinston, NC
National Provider Identifier
1104220300
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LENOIR PHYSICIANS NETWORK LLC
Doing business as
Lenoir Neurology
Practice address
701 Doctors Dr
Suite E2
Kinston, NC 28501-1589
Phone
(252) 522-4446
Fax
(252) 522-4484
NPI assigned
Oct 16, 2014
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
LENOIR PHYSICIANS NETWORK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Gary Black
Title
President/Ceo
Phone
(252) 522-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

701 Doctors Dr
Suite E2
Kinston, NC 28501-1589

Mailing address

701 Doctors Dr
Suite G
Kinston, NC 28501-1589

Other names 1

  • Lenoir Neurology Doing business as

National Provider Directory

National Provider Directory
Part of
Lenoir Physicians Network LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1104220300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE G",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE E2",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "252-522-4446",
            "fax_number": "252-522-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR PHYSICIANS NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LENOIR PHYSICIANS NETWORK LLC",
        "enumeration_date": "2014-10-16",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "252-522-7000"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenoir Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.