Individual provider Active NPI

Lanning R Newell, M.D.

  • Specialist
  • Raleigh, NC
National Provider Identifier
1114926250
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21429 Issued in NC
Practice address
2600 Atlantic Ave
Raleigh, NC 27604-1502
Phone
(919) 881-9999
Fax
(919) 881-9998
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21429 NC
Gastroenterology Physician 207RG0100X 21429 NC
Specialist 174400000X 21429 NC Primary

Addresses

Primary practice location

2600 Atlantic Ave
Raleigh, NC 27604-1502

Mailing address

2600 Atlantic Ave
Raleigh, NC 27604-1502
Phone (919) 881-9999

Other identifiers 1

IdentifierTypeStateIssuer
2022558OtherNCMEDICARE INDIVIDUAL PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lannynewell@tg.allscriptsdirect.net

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
I20080903000209 NC Practitioner - Gastroenterology 7416023270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21429NCMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1114926250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ATLANTIC AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041502",
            "telephone_number": "919-881-9999",
            "fax_number": "919-881-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 ATLANTIC AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041502",
            "telephone_number": "919-881-9999",
            "fax_number": "919-881-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "LANNING",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "21429",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "21429",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "21429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "2022558",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lannynewell@tg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2600 Atlantic Ave",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276041502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.