Lawrence Andrew Blelloch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101803 Issued in NC

Practice address

4420 Lake Boone TRL Ste 203
Raleigh, NC 27607-7505

Phone

(919) 784-2930

Fax

(919) 784-2929

NPI assigned

May 31, 2006

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Maria Parham Physician Practices LLCGroup PAC ID 7719153683, 54 clinicians

Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132
• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lblelloch11793@direct.unc.nchie.net
• Direct secure messaging: lblelloch1704707@direct.novanthealth.org

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.

• DLP Maria Parham Physician Practices, LLC

  dba Maria Parham Primary Care

  • Family Medicine Physician
  • Henderson, NC
  • NPI 1215273628
  Medicare reassignment Care Compare group
• Forsyth Memorial Hospital, Inc.

  dba NH Forsyth Primary Care Clinics

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1104548874
  Medicare reassignment Care Compare group
• North Carolina MG, LLC

  dba UNC Health North Carolina Heart and Vascular

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1215741640
  Medicare reassignment Care Compare group
• DLP Haywood Regional Medical Center LLC

  • Emergency Medicine Physician
  • Clyde, NC
  • NPI 1336542067
  Medicare reassignment
• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641
  Medicare reassignment
• Integrated Wound Specialists of North Carolina, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1558666776
  Medicare reassignment
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment
• Triangle Medical Professionals LLC

  • Physician Assistant
  • Raleigh, NC
  • NPI 1417974064
  NPD (past) Authorized official
• DLP Haywood Regional Medical Center LLC

  dba Haywood Regional Medical Center Behavioral Health Unit

  • Psychiatric Hospital Unit
  • Clyde, NC
  • NPI 1568618379
  NPD
• DLP Maria Parham Physician Practices LLC

  dba Maria Parham Urology

  • Urology Physician
  • Henderson, NC
  • NPI 1366969966
  NPD
• DLP Maria Parham Physician Practices LLC

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1578256749
  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Maria Parham Medical Center LLC

  dba Maria Parham Medical Center

  • General Acute Care Hospital
  • Henderson, NC
  • NPI 1164707725
  Care Compare affiliation
• DLP Maria Parham Medical Center LLC

  dba Maria Parham Franklin

  • Psychiatric Hospital Unit
  • Louisburg, NC
  • NPI 1689166605
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1245287416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490",
            "telephone_number": "984-215-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505",
            "telephone_number": "919-784-2930",
            "fax_number": "919-784-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6512 Six Forks Rd",
            "address_2": "Suite 102B",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156561",
            "country_code": "US",
            "telephone_number": "919-870-8845",
            "fax_number": "919-870-8845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Baldwin Ln",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035846",
            "country_code": "US",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLELLOCH",
        "first_name": "LAWRENCE",
        "middle_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lblelloch11793@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.