Lori Hartley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103475 Issued in NC

Practice address

120 Medical Village Dr
Wallace, NC 28466-1660

Phone

(910) 285-2330

NPI assigned

May 14, 2007

Last updated

Nov 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Moore Medical Group IncGroup PAC ID 9638354889, 18 clinicians

SNF Physiatry Services NC PLLCGroup PAC ID 1759805625, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• SNF Physiatry Services NC PLLC

  dba American Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Durham, NC
  • NPI 1962230177
  Medicare reassignment Care Compare group NPD (past)
• Moore Medical Group Inc

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1578724183

  NC

  Medicare reassignment Care Compare group
• Coastal Family Practice & Internal Medicine

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1427106079
  Medicare reassignment
• Coastal Rehabilitation Associates

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wilmington, NC
  • NPI 1851348981
  NPD (past)
• Goshen Medical Center Incorporated

  dba GMC Pharmacy at Rockingham

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD (past)
• SNF Physiatry Services PA PLLC

  dba American Physiatry

  • Physical Medicine & Rehabilitation Physician
  • Grove City, PA
  • NPI 1932901071
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1285849950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MUIRFIELD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035500",
            "telephone_number": "910-399-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL VILLAGE DR",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284661660",
            "telephone_number": "910-285-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "LORI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goshen Medical Center Incorporated (GMC Pharmacy at Wallace)
• Goshen Medical Center Incorporated
• Graybar Chiropractic, Inc.
• Michael Francis Graybar Jr., DC
• Ryan Michael Graybar, DC
• Crystal Rose Havens
• Tyler Hawke, D.C.
• Helping Hands Care Management Services (Behavioral Education Academy)
• Helping Hands Care Management Services, Inc
• Helping Hands Care Management Services, Inc.

• Physician Assistant in Wallace, NC
• Providers in Wallace, 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 Nov 1, 2010; 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.