Organization Active NPI

Medicaid Made Simple LLC

  • Case Management Agency
  • Kinston, NC
National Provider Identifier
1194654657
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MEDICAID MADE SIMPLE LLC
Practice address
809 Nelson St
Kinston, NC 28501-3644
Phone
(252) 286-1033
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Lakisha M Brown
Title
Managing Member
Phone
(252) 286-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

809 Nelson St
Kinston, NC 28501-3644

Mailing address

809 Nelson St
Kinston, NC 28501-3644
Phone (252) 286-1033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1194654657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 NELSON ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013644",
            "telephone_number": "252-286-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NELSON ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013644",
            "telephone_number": "252-286-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAID MADE SIMPLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "252-286-1033"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.