Individual provider Active NPI

Nicole L Lindsey, PA-C

  • Physician Assistant
  • Sanford, NC
National Provider Identifier
1235250903
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07880 Issued in NC
Practice address
827 S Horner Blvd
Sanford, NC 27330-5342
Phone
(919) 775-7926
NPI assigned
Apr 2, 2007
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07880 NC Primary

Addresses

Primary practice location

827 S Horner Blvd
Sanford, NC 27330-5342

Mailing address

827 S Horner Blvd
Sanford, NC 27330-5342
Phone (919) 775-7926

Other practice location 1

501 Health Park Dr Ste 150
Garner, NC 27529-7051
Phone (919) 772-3487

Other practice location 2

196 Old Military Rd
Lake Placid, NY 12946-1940
Phone (518) 523-8450 ext. 8430

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180404001619 NC Practitioner - Physician Assistant 8729341755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

Practice addresses (Care Compare)

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511
Phone (919) 782-2152

501 Health Park Dr
Suite 150
Garner, NC 27529-7051
Phone (919) 772-3487

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-07880NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Dermatology, PA Dermatology Past Accepting new patients
Knoxville Dermatology Group PC Dermatology PastSince Jul 1, 2004 Accepting new patients
Azalea Skin Treatment Center PA PastSince Sep 27, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nlindsey@aadermaffiliates.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1235250903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305342",
            "telephone_number": "919-775-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305342",
            "telephone_number": "919-775-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Health Park Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275297051",
            "country_code": "US",
            "telephone_number": "919-772-3487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "196 Old Military Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Placid",
            "state": "NY",
            "postal_code": "129461940",
            "country_code": "US",
            "telephone_number": "518-523-8450 x8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.