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Individual provider Active NPI

Lettie Marie Doran, MD

  • Hospitalist Physician
  • Cary, NC
National Provider Identifier
1275559536
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2007-01747 Issued in NC
Practice address
416 Widdington LN
Cary, NC 27519-6699
Phone
(516) 993-7671
NPI assigned
Jul 13, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 216921 NY
Hospitalist Physician 208M00000X 144636 NC
Hospitalist Physician 208M00000X 2007-01747 NC Primary

Addresses

Primary practice location

416 Widdington LN
Cary, NC 27519-6699

Mailing address

416 Widdington LN
Cary, NC 27519-6699
Phone (516) 993-7671

Other identifiers 1

IdentifierTypeStateIssuer
02199351MedicaidNY

Other names 1

  • Lettie Marie Carter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000659 NC Practitioner - Family PracticePractitioner - Internal Medicine 1254349772 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3916 Ben Franklin Blvd
Durham, NC 27704-2383
Phone (919) 956-9301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-01747NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Feb 11, 2008 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Feb 11, 2008 Accepting new patients
North Carolina Specialty Hospital LLC Current Accepting new patients
North Carolina Specialty Hospital LLC Hospitalist CurrentSince May 18, 2019 Accepting new patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
Brunswick Community Hospital, LLC CurrentSince Mar 10, 2018 Accepting new patients
North Carolina Specialty Hospital LLC CurrentSince May 18, 2019 Accepting new patients
Franklin Hospital Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

3916 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 956-9300

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1275559536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 WIDDINGTON LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196699",
            "telephone_number": "516-993-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 WIDDINGTON LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196699",
            "telephone_number": "516-993-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "LETTIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216921",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "144636",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2007-01747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02199351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETTIE",
            "last_name": "CARTER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.