Individual provider Active NPI

Nancy L Dulin, MD

  • Anesthesiology Physician
  • Statesville, NC
National Provider Identifier
1306816558
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
200201242 Issued in NC
Practice address
218 Old Mocksville Rd
Anesthesia Dept
Statesville, NC 28625-1930
Phone
(704) 873-0281
NPI assigned
Jan 23, 2006
Last updated
Nov 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 200201242 NC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 200201242 NC

Addresses

Primary practice location

218 Old Mocksville Rd
Anesthesia Dept
Statesville, NC 28625-1930

Mailing address

PO Box 651711
Charlotte, NC 28265-1711
Phone (704) 873-0281

Other identifiers 1

IdentifierTypeStateIssuer
5900186MedicaidNC

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000954 NC Practitioner - Anesthesiology 0840244950 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Gastroenterology and Hepatology PLLCGroup PAC ID 3870489412, shared by 3 NPIs, 76 clinicians

Practice addresses (Care Compare)

2015 Randolph Rd
Suite 208
Charlotte, NC 28207-1200
Phone (704) 377-4009

Merit-based Incentive Payment System (MIPS)

Final score
95.22 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
84.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Apr 11, 2022 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Jun 20, 2013 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Mar 12, 2013 Accepting new patients
Tko Anesthesia PA Anesthesiology Past Accepting new patients

Locations

15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549

7215 Lebanon Rd
Ste F
Mint Hill, NC 28227
Phone (704) 248-0229

115 Commerce Pointe Blvd
Mooresville, NC 28117
Phone (423) 343-7032

508 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-6902

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1306816558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 651711",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282651711",
            "telephone_number": "704-873-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 OLD MOCKSVILLE RD",
            "address_2": "ANESTHESIA DEPT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-873-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULIN",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200201242",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "200201242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.