Individual provider Active NPI

Lauren Moriah Brown

  • Family Nurse Practitioner
  • Shallotte, NC
National Provider Identifier
1265050181
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013874 Issued in NC
Practice address
237 Mulberry St
Shallotte, NC 28470-4471
Phone
(828) 639-9018
Fax
(910) 304-5765
NPI assigned
Jul 7, 2020
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013874 NC Primary

Addresses

Primary practice location

237 Mulberry St
Shallotte, NC 28470-4471

Mailing address

237 Mulberry St
Shallotte, NC 28470-4471
Phone (828) 639-9018

Other practice location 1

5725 Carolina Beach Rd
Wilmington, NC 28412-2611
Phone (910) 792-1455

Other practice location 2

11780 US Highway 1 Ste N107
Palm Beach Gardens, FL 33408-3007
Phone (828) 639-9018

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
I20210826003226 NC Practitioner - Nurse Practitioner 7315342441 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Clinical LTC Associates of North Carolina PLLC CurrentSince Apr 2, 2024 Accepting new patients
Longevity Accountable Care, PA CurrentSince Feb 6, 2026 Accepting new patients
Senior Health Associates, P.a. CurrentSince Aug 2, 2021 Accepting new patients

Locations

401 Lambert Rd
Biscoe, NC 27209
Phone (910) 428-2117

635 Statesville Blvd
Salisbury, NC 28144
Phone (704) 633-7390

237 Mulberry St
Shallotte, NC 28470
Phone (910) 499-0181

1709 S 16th St
Ste A
Wilmington, NC 28401
Phone (910) 452-8633

1984 S 16th St
Ste 1
Wilmington, NC 28401
Phone (910) 452-8633

5725 Carolina Beach Rd
Wilmington, NC 28412
Phone (910) 782-1455

820 Wellington Ave
Wilmington, NC 28401
Phone (910) 343-0425

Organizations & group practices 3

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1265050181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MULBERRY ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704471",
            "telephone_number": "828-639-9018",
            "fax_number": "910-304-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 MULBERRY ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704471",
            "telephone_number": "828-639-9018",
            "fax_number": "910-304-5765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5725 Carolina Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122611",
            "country_code": "US",
            "telephone_number": "910-792-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11780 US Highway 1 Ste N107",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334083007",
            "country_code": "US",
            "telephone_number": "828-639-9018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LAUREN",
        "middle_name": "MORIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.