Lesley Macinnes, DO
Individual provider Active NPI Pediatrics Physician · Granite Falls, NC
NPI 1235577602 · NPPES record last updated Mar 18, 2021
Key facts
- NPI
- 1235577602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 201601004 (NC)
- Practice address
- 4355 Hickory Blvd Ste 2
Granite Falls, NC 28630-2014 - Phone
- (828) 757-5050
- Fax
- (828) 757-5051
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201601004 | NC | MD | Pediatrics Physician |
Interoperability endpoints
- lesleymacinnes@brpami.allscriptsdirect.net
- lmacinnes@brpedsadolmed.trimed.direct-ci.com
- lmacinnes180243@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 201601004 | NC | Yes |
Addresses
Primary practice location
4355 Hickory Blvd Ste 2
Granite Falls, NC 28630-2014
Mailing address
321 Mulberry Street, SW
Medical Staff Services
Lenoir, NC 28645
Phone (828) 757-5965
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmacinnes180243@direct.UNC.nchie.net | Direct |
Other providers in Granite Falls, NC
- Angela Allen Lail
- Diane Ledford
- Michael R Lewis
- Christopher Licea
- Makenzie Young Macchia
- Michael C Malone
- Caleb Marshall
- Jeffrey Allen Martin
- Ana Martinez
- Patrick Owen McCloy
All providers in Granite Falls, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.