NPIMap

Organization Active NPI

Lawrence M Linett, MD, PLLC

  • Sports Medicine (Emergency Medicine) Physician
  • Shallotte, NC
National Provider Identifier
1306039185
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
52071 Issued in NC
Legal business name
LAWRENCE M LINETT, MD, PLLC
Practice address
4501 Main St
Unit 2
Shallotte, NC 28470-4589
Phone
(910) 754-9000
Fax
(910) 754-9080
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Lawrence M. Linett, M.D.
Title
Owner
Phone
(910) 791-2788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PS0010X 52071 NC Primary

Addresses

Primary practice location

4501 Main St
Unit 2
Shallotte, NC 28470-4589

Mailing address

2595 S 17TH St
Wilmington, NC 28401-7748
Phone (910) 791-2788

Other identifiers 1

IdentifierTypeStateIssuer
52071OtherNCBC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1306039185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017748",
            "telephone_number": "910-791-2788",
            "fax_number": "910-791-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAIN ST",
            "address_2": "UNIT 2",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704589",
            "telephone_number": "910-754-9000",
            "fax_number": "910-754-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M LINETT, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "LINETT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-791-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NC",
            "license": "52071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "52071",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.