Individual provider Active NPI

Lois Wilkinson, M.D.

  • General Practice Physician
  • Rocky Mount, NC
National Provider Identifier
1134430614
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2013-00083 Issued in NC
Practice address
550 N Winstead Ave
Rocky Mount, NC 27804-2231
Phone
(252) 451-3411
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2013-00083 NC Primary

Addresses

Primary practice location

550 N Winstead Ave
Rocky Mount, NC 27804-2231

Mailing address

1016 Hardin Hill LN
Knightdale, NC 27545-6327
Phone (919) 656-3210

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
I20130322000258 NC Practitioner - Family PracticePractitioner - General Practice 5193960110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

550 N Winstead Ave
Rocky Mount, NC 27804-2231
Phone (252) 451-3411

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00083NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed Primary Care, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Fastmed P.C. General Practice CurrentSince Jan 1, 2024 Accepting new patients

Locations

178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

4613 University Dr
Durham, NC 27707

550 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 451-3411

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1134430614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 HARDIN HILL LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456327",
            "telephone_number": "919-656-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042231",
            "telephone_number": "252-451-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "LOIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2013-00083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.