NPIMap

Individual provider Active NPI

Lara Jaussi, D.O.

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1124408471
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2025-03389 Issued in NC
Practice address
109 Scotts Hill Medical Dr. Ste 204
Wilmington, NC 28411
Phone
(910) 662-1960
NPI assigned
Jun 2, 2015
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2025-03389 NC Primary
Family Medicine Physician 207Q00000X OT016721 PA
Family Medicine Physician 207Q00000X OS018853 PA

Addresses

Primary practice location

109 Scotts Hill Medical Dr. Ste 204
Wilmington, NC 28411

Mailing address

PO Box 936857
Suite 4001
Atlanta, GA 31193-6857
Phone (910) 662-1960

Other practice location 1

1100 Grampian Blvd
Williamsport, PA 17701-1907
Phone (570) 320-7680

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lara.jaussi@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180726000640 PA Practitioner - Family Practice 1850604042 Reassigns benefits to 2 organizations
I20251114000236 NC Practitioner - Family Practice 1850604042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
North Penn Comprehensive Health ServicesGroup PAC ID 0446245880, shared by 14 NPIs, 43 clinicians

Practice addresses (Care Compare)

1100 Grampian Blvd
Williamsport, PA 17701-1907

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

416 S Main St
Mansfield, PA 16933-1510

6 Riverside PLZ
Blossburg, PA 16912-1137
Phone (570) 638-2174

7 Water St
Wellsboro, PA 16901-1126

7910 US Hwy 117 S
Rocky Point, NC 28457-9431
Phone (910) 300-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-03389NCMDFamily Medicine Physician
OS018853PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Jun 20, 2021 Accepting new patients
Susquehanna Physician Services Family Medicine CurrentSince Jun 20, 2021 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Sep 1, 2018 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Family Medicine CurrentSince Sep 24, 2025 Accepting new patients
NMG Health Services LLC CurrentSince Sep 24, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
North Penn Comprehensive Health Services Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
The Green Home Past Accepting new patients
New Hanover Medical Group PA Family Medicine Past Accepting new patients

Locations

7910 US Hwy 117 S
Rocky Point, NC 28457
Phone (910) 300-4320

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

109 Scotts Hill Medical Dr
Ste 204
Wilmington, NC 28411
Phone (910) 662-1960

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

6 Riverside Plz
Blossburg, PA 16912
Phone (570) 638-2174

32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100

37 Central Ave
Wellsboro, PA 16901
Phone (570) 326-8196

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

740 High St
Ste 4001
Williamsport, PA 17701
Phone (570) 321-2345

Interoperability endpoints

  • Direct secure messaging: ljaussi127678@upmc.direct-ci.com
  • Direct secure messaging: ljaussi1728998@direct.novanthealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Green HomeWellsboro, PA, CCN 395318 Skilled nursing facility Adp of the SNF Apr 3, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1124408471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "address_2": "SUITE 4001",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-1960",
            "fax_number": "910-662-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SCOTTS HILL MEDICAL DR. STE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "910-662-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Grampian Blvd",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177011907",
            "country_code": "US",
            "telephone_number": "570-320-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUSSI",
        "first_name": "LARA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2025-03389",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT016721",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lara.jaussi@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.