Individual provider Active NPI

Lauren Elizabeth Demo Gomez, PA

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1104585124
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12087 Issued in NC
Practice address
800 Fleming St
Hendersonville, NC 28791-3528
Phone
(828) 258-8800
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 4291 SC
Physician Assistant 363A00000X 0010-12087 NC Primary

Addresses

Primary practice location

800 Fleming St
Hendersonville, NC 28791-3528

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 451-7617

Other practice location 1

9 Walden Ridge Dr Ste 10
Asheville, NC 28803-8592
Phone (833) 365-7246

Other practice location 2

155 W Mills St Ste 204
Columbus, NC 28722-9462
Phone (903) 261-7490

Other practice location 3

201 Richard St
Easley, SC 29640-1442
Phone (833) 365-7246

Other practice location 4

210 Overland Dr
Greenwood, SC 29646-4069
Phone (833) 365-7246

Other practice location 5

300 Regent Park Ct
Greenville, SC 29607-6547
Phone (833) 365-7246

Other identifiers 1

IdentifierTypeStateIssuer
5003PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220316000899 SC Practitioner - Physician Assistant 1850786567 Reassigns benefits to 1 organization
I20220316002721 NC Practitioner - Physician Assistant 1850786567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

2585 Hendersonville Rd
Arden, NC 28704-9577
Phone (828) 258-8800

271 Old Barn Rd
Hendersonville, NC 28791-8406
Phone (828) 890-4905

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

800 Fleming St
Hendersonville, NC 28791-3528
Phone (828) 698-4318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4291SCMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physician Assistant CurrentSince Dec 4, 2023 Accepting new patients
Premier Pain Solutions PLLC CurrentSince Jan 31, 2022 Accepting new patients
Emergeortho PA CurrentSince Dec 4, 2023 Accepting new patients

Locations

9 Walden Ridge Dr
Ste 10
Asheville, NC 28803
Phone (828) 221-0121

48 Hospital Dr
Columbus, NC 28722
Phone (828) 894-0978

155 W Mills St
Ste 204
Columbus, NC 28722
Phone (828) 221-0222

800 Fleming St
Hendersonvlle, NC 28791
Phone (828) 692-5741

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

5710 Oleander Dr
Ste 201
Wilmington, NC 28403
Phone (828) 221-0121

201 Richard St
#A
Easley, SC 29640
Phone (828) 221-0121

300 Regent Park Ct
Greenville, SC 29607
Phone 8556637772704

210 Overland Dr
Greenwood, SC 29646
Phone (864) 227-8308

Interoperability endpoints

  • Direct secure messaging: lauren.demo.1@847.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1104585124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-451-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913528",
            "telephone_number": "828-258-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Walden Ridge Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038592",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 W Mills St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NC",
            "postal_code": "287229462",
            "country_code": "US",
            "telephone_number": "903-261-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Richard St",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296401442",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Overland Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464069",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Regent Park Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076547",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH DEMO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4291",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5003PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.