Individual provider Active NPI

Laura Carlisle Huenink, FNP

  • Family Nurse Practitioner
  • Reidsville, NC
National Provider Identifier
1285808279
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021409 Issued in NC
Practice address
621 S Main St Ste 100
Reidsville, NC 27320-5034
Phone
(336) 951-6460
Fax
(336) 348-6727
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN168244 GA
Family Nurse Practitioner 363LF0000X 5021409 NC Primary

Addresses

Primary practice location

621 S Main St Ste 100
Reidsville, NC 27320-5034

Mailing address

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5205

Other practice location 1

176 Marietta Hwy
Hiram
Hiram, GA 30141-1836
Phone (678) 945-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080610000178 GA Practitioner - Nurse Practitioner 8820168354 Reassigns benefits to 1 organization
I20250321001103 NC Practitioner - Nurse Practitioner 8820168354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

621 S Main St
Suite 100
Reidsville, NC 27320-5034
Phone (336) 342-6880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5021409NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. CurrentSince Mar 24, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2011 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2011 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Mar 24, 2025 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

176 Charles Hardy Pkwy
#C
Hiram, GA 30141
Phone (678) 945-8200

148 Bill Carruth Pkwy
Ste 300
Hiram, GA 30141
Phone (470) 956-4250

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

621 S Main St
Ste 100
Reidsville, NC 27320
Phone (336) 342-6880

Interoperability endpoints

  • Direct secure messaging: lhuenink21510@directwellstar.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1285808279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011229",
            "telephone_number": "336-663-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST STE 100",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205034",
            "telephone_number": "336-951-6460",
            "fax_number": "336-348-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Marietta Hwy",
            "address_2": "Hiram",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301411836",
            "country_code": "US",
            "telephone_number": "678-945-8200",
            "fax_number": "678-945-8209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUENINK",
        "first_name": "LAURA",
        "middle_name": "CARLISLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN168244",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.