Lee Tate Haymon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6038 Issued in NC

Practice address

581 Farringdom St
Lumberton, NC 28358-2614

Phone

(910) 738-3913

Fax

(910) 738-3994

NPI assigned

Feb 27, 2007

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• L Tate Haymon DDS

  • Periodontics
  • Lumberton, NC
  • NPI 1699945741
  Authorized official Same address or phone

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1184751463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 4TH ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283209407",
            "telephone_number": "910-863-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 FARRINGDOM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582614",
            "telephone_number": "910-738-3913",
            "fax_number": "910-738-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMON",
        "first_name": "LEE",
        "middle_name": "TATE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6038",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "6038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993728",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Harrington, M.ED, CCC-SLP
• Michael David-Phillip Harris, DO
• Ronald Lynn Harris
• Joel M Hart, NP
• Ylisha David Hawkins
• Amy Head, MSW, LCSW
• Healing Hands Family Practice PLLC
• Healing Hands Quick Care and Wellness PLLC
• Health Horizons Inc (Southeastern Home Medical Equipment)
• Health Horizons, Inc. (Southeastern Palliative Care Program)

• General Practice Dentistry in Lumberton, NC
• Providers in Lumberton, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.