Individual provider Active NPI

Israel Lemus-Martinez, PA-C

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1316778384
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14433 Issued in NC
Practice address
214 18TH St SE
Hickory, NC 28602-1363
Phone
(828) 322-5172
Fax
(828) 322-6963
NPI assigned
Aug 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14433 NC Primary

Addresses

Primary practice location

214 18TH St SE
Hickory, NC 28602-1363

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (828) 322-5172

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003001542 NC Practitioner - Physician Assistant 6305377151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians
OrthocarolinaGroup PAC ID 2062316821, 288 clinicians

Practice addresses (Care Compare)

10102 Johnston Rd
Charlotte, NC 28210-8203
Phone (704) 247-6578

14221 Boren St
Huntersville, NC 28078-6507
Phone (980) 306-5911

1908 E Franklin Blvd
Suite 100
Gastonia, NC 28054-4742
Phone (704) 271-1215

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282

214 18TH St SE
Hickory, NC 28602-1363
Phone (704) 323-2276

295 Williamson Rd
Suite a
Mooresville, NC 28117-8269
Phone (980) 444-2003

955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Aug 3, 2025 Accepting new patients
Orthocarolina Physician Assistant CurrentSince Aug 1, 2024 Accepting new patients
Orthocarolina Physician Assistant CurrentSince Aug 1, 2024 Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

214 18th St SE
Hickory, NC 28602
Phone (828) 322-5172

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

Organizations & group practices 4

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 3

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1316778384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "828-322-5172",
            "fax_number": "828-322-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 18TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286021363",
            "telephone_number": "828-322-5172",
            "fax_number": "828-322-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS-MARTINEZ",
        "first_name": "ISRAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.