De Lora Cummings, M.D.
Individual provider Active NPI Family Medicine Physician · Carolina Shores, NC
NPI 1104853845 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1104853845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9801224 (NC)
- Practice address
- 75 Emerson Bay Rd Ste 102
Carolina Shores, NC 28467 - Phone
- (910) 579-8363
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9801224 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital Inc | Past | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- dcummings545712@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9801224 | NC | Yes |
Addresses
Primary practice location
75 Emerson Bay Rd Ste 102
Carolina Shores, NC 28467
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268
Other practice location 1
6602 Knightdale Blvd
Suite 102
Knightdale, NC 27545-6525
Phone (919) 747-5210
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dcummings545712@direct.novanthealth.org |
Other providers in Carolina Shores, NC
- Tina Jean Bumgarner
- Amanda Elise Carter
- Tara Anne Craig
- Jenifer Curley
- Lauren Evans
- Kenneth Alan Ford
- Jill A Greene
- Anne Bryan Griffiths
All providers in Carolina Shores, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.