Active NPI
Lindsey M. Bellamy, D.O.
- Pediatrics Physician
- Southern Pines, NC
National Provider Identifier
1225358484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2018-02681
- Practice address
- 195 W Illinois Ave
Southern Pines, NC 28387 - Phone
- (910) 692-2444
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2018-02681 | NC | Primary |
Addresses
Primary practice location
195 W Illinois Ave
Southern Pines, NC 28387
Mailing address
195 W Illinois Ave
Southern Pines, NC 28387-5808
Phone (910) 692-2444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225358484 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02681 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Horn Basin Childrens Clinic PC | Pediatrics | Past | Accepting new patients |
| Sandhills Pediatrics | Pediatrics | Past | Accepting new patients |
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": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1225358484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 W ILLINOIS AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875808",
"telephone_number": "910-692-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 W ILLINOIS AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "28387",
"telephone_number": "910-692-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLAMY",
"first_name": "LINDSEY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2018-02681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225358484",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.