Individual provider Active NPI

Dana Leigh-Beth Lairamore, DO

  • Obstetrics & Gynecology Physician
  • Davidson, NC
National Provider Identifier
1114816121
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200300486 Issued in NC
Practice address
104 Cedar Grove Cir
Davidson, NC 28036-8400
Phone
(704) 661-6782
NPI assigned
Jul 2, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200300486 NC Primary

Addresses

Primary practice location

104 Cedar Grove Cir
Davidson, NC 28036-8400

Mailing address

104 Cedar Grove Cir
Davidson, NC 28036-8400
Phone (704) 661-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 27, 2025 through Oct 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
200300486NCMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1114816121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CEDAR GROVE CIR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368400",
            "telephone_number": "704-661-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CEDAR GROVE CIR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280368400",
            "telephone_number": "704-661-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRAMORE",
        "first_name": "DANA",
        "middle_name": "LEIGH-BETH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200300486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davidson, NC

Sources for this page

Verify at the official NPI Registry.