Individual provider Active NPI

Marie-Lyne Lavoie, M.D.

  • Obstetrics & Gynecology Physician
  • Greensboro, NC
National Provider Identifier
1154307387
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9801695 Issued in NC
Practice address
719 Green Valley Rd Ste 305
Greensboro, NC 27408-7026
Phone
(336) 275-5391
Fax
(336) 275-4702
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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 9801695 NC Primary

Addresses

Primary practice location

719 Green Valley Rd Ste 305
Greensboro, NC 27408-7026

Mailing address

1908 Lendew St
Greensboro, NC 27408-7007
Phone (336) 273-2835

Other practice location 1

1908 Lendew St
Greensboro, NC 27408-7007
Phone (336) 273-2835

Other identifiers 1

IdentifierTypeStateIssuer
891244WMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlavoie4333@direct.conehealth.com Direct

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
I20100724000074 NC Practitioner - Obstetrics/Gynecology 7618920299

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mlavoie4333@direct.conehealth.com

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1154307387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087007",
            "telephone_number": "336-273-2835",
            "fax_number": "336-273-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD STE 305",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087026",
            "telephone_number": "336-275-5391",
            "fax_number": "336-275-4702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 Lendew St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087007",
            "country_code": "US",
            "telephone_number": "336-273-2835",
            "fax_number": "336-273-1948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "MARIE-LYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9801695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891244W",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlavoie4333@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "719 Green Valley Rd Ste 305",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274087026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.