Individual provider Active NPI

Michael A. Lam, MD

  • Cardiovascular Disease Physician
  • Kinston, NC
National Provider Identifier
1336190883
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2008-01675 Issued in NC
Practice address
2503 N Queen St
Kinston, NC 28501-1632
Phone
(252) 523-6000
Fax
(252) 527-8500
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11269 SC
Cardiovascular Disease Physician 207RC0000X 036177106 IL
Cardiovascular Disease Physician 207RC0000X 20894 KY
Cardiovascular Disease Physician 207RC0000X 2008-01675 NC Primary
Cardiovascular Disease Physician 207RC0000X 068051 GA

Addresses

Primary practice location

2503 N Queen St
Kinston, NC 28501-1632

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone (618) 233-3066

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address mlam690247@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, GA, OH, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040726000612 SC Practitioner - Cardiovascular Disease (Cardiology) 2062492390 Reassigns benefits to 1 organization
I20081118000884 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062492390 Reassigns benefits to 3 organizations
I20160819000379 GA Practitioner - Cardiovascular Disease (Cardiology) 2062492390 Reassigns benefits to 1 organization
I20220523001039 OH Practitioner - Cardiovascular Disease (Cardiology) 2062492390 Reassigns benefits to 2 organizations
I20251022004654 IL Practitioner - Cardiovascular Disease (Cardiology) 2062492390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians

Practice addresses (Care Compare)

4600 Memorial Dr
Suite W1
Belleville, IL 62226-5359
Phone (618) 233-3066

Hospital & facility affiliations

  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068051GAMDCardiovascular Disease Physician
036177106ILMDCardiovascular Disease Physician
20894KYMDCardiovascular Disease Physician
2008-01675NCMDCardiovascular Disease Physician
11269SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Adena Medical Group LLC CurrentSince May 16, 2022 Accepting new patients
Fairview Heights Medical Group SC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Nov 15, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 6, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 17, 2020 Accepting new patients
Hampton Regional Medical Center CurrentSince Mar 8, 2018 Accepting new patients
Ohiohealth Corporation Cardiovascular Disease CurrentSince Dec 6, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Northeast Georgia Heart Center Cardiovascular Disease Current Accepting new patients
Hampton Regional Medical Center Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 17, 2020 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Oct 13, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Cardiology Care of SC, LLC Cardiovascular Disease Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066

1404 Cross St
Ste 2940
Shiloh, IL 62269
Phone (618) 233-3660

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1710 Kernersville Medical Pkwy
Ste 205
Kernersville, NC 27284
Phone (336) 983-4500

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

595 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-1221

Interoperability endpoints

  • Direct secure messaging: mlam690247@direct.unc.nchie.net

Organizations & group practices 15

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.

View all 15

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1336190883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011632",
            "telephone_number": "252-523-6000",
            "fax_number": "252-527-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Memorial Dr Ste W1",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265359",
            "country_code": "US",
            "telephone_number": "618-233-3066",
            "fax_number": "618-233-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "11269",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036177106",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "20894",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2008-01675",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "068051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste W1",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlam690247@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2503 N Queen St",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.