Active NPI
Delisa Lawson
- Prosthetist
- Camden, SC
National Provider Identifier
1356713705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO03842
- Practice address
- 1114 Mill St
Camden, SC 29020-3712 - Phone
- (803) 787-6911
- Fax
- (704) 333-4429
- NPI assigned
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO005544 | NC | MD | Orthotist |
| CPO03842 | NC | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.T. Hinnant Artificial Limb Co | Orthotist | Current | Accepting new patients |
| W.T. Hinnant Artificial Limb Co | Orthotist | Current | Accepting new patients |
Locations
3707 Latrobe Dr
Ste 430
Charlotte, NC 28211
Phone (704) 375-2587
1114 Mill St
Camden, SC 29020
Phone (803) 432-1147
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO005544 | NC | |
| Prosthetist | 224P00000X | CPO03842 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1114 Mill St
Camden, SC 29020-3712
Mailing address
3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1361
Phone (704) 375-2587
Other practice location 1
4702 Creekstone Dr
Durham, NC 27703-8410
Phone (919) 797-1230
Other practice location 2
3707 Latrobe Dr Ste 430
Charlotte, NC 28211-1361
Phone (704) 375-2587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2022.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1356713705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 LATROBE DR STE 430",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111361",
"telephone_number": "704-375-2587",
"fax_number": "704-333-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 MILL ST",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290203712",
"telephone_number": "803-787-6911",
"fax_number": "704-333-4429"
}
],
"practiceLocations": [
{
"address_1": "4702 Creekstone Dr",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277038410",
"country_code": "US",
"telephone_number": "919-797-1230",
"fax_number": "919-797-1240",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3707 Latrobe Dr Ste 430",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282111361",
"country_code": "US",
"telephone_number": "704-375-2587",
"fax_number": "704-333-4429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWSON",
"first_name": "DELISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NC",
"license": "CO005544",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NC",
"license": "CPO03842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.