Active NPI
Medicaid Made Simple LLC
- Case Management Agency
- Kinston, NC
National Provider Identifier
1194654657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.