NPIMap

Individual provider Active NPI

Andre Lemeac Minor I, M.D.

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1295893261
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32797 Issued in NC
Practice address
905 N Howe St
Southport, NC 28461-3037
Phone
(910) 457-5657
Fax
(910) 457-0909
NPI assigned
Dec 4, 2006
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32797 NC Primary

Addresses

Primary practice location

905 N Howe St
Southport, NC 28461-3037

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3806

Other practice location 1

819 N Atlantic Ave
Southport, NC 28461-3531
Phone (910) 457-5657

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
I20050823001182 NC Practitioner - General Practice 2163453770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Brody School of Medicine at East Carolina University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J. Arthur Dosher Memorial HospitalGroup PAC ID 8921910324, shared by 6 NPIs, 53 clinicians

Practice addresses (Care Compare)

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Oct 1, 2014 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
J. Arthur Dosher Memorial Hospital Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4222 Long Beach Rd SE
Southport, NC 28461
Phone (910) 269-2053

819 N Atlantic Ave
Southport, NC 28461
Phone (910) 454-4635

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

905 N Howe St
Southport, NC 28461
Phone (910) 457-3827

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

Interoperability endpoints

  • Direct secure messaging: andre.minor@dosher.eclinicaldirectplus.com

Organizations & group practices 5

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 9

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1295893261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3806",
            "fax_number": "910-457-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613037",
            "telephone_number": "910-457-5657",
            "fax_number": "910-457-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 N Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284613531",
            "country_code": "US",
            "telephone_number": "910-457-5657",
            "fax_number": "910-457-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINOR",
        "first_name": "ANDRE",
        "middle_name": "LEMEAC",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "32797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.