Individual provider Active NPI

Delisa Lawson

  • Prosthetist
  • Camden, SC
National Provider Identifier
1356713705
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CPO03842 Issued in NC
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

LicenseStateTypeSpecialty
CO005544NCMDOrthotist
CPO03842NCMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
W.T. Hinnant Artificial Limb Co Orthotist CurrentSince Jun 26, 2022 Accepting new patients
W.T. Hinnant Artificial Limb Co Orthotist CurrentSince Jun 26, 2022 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)CodeLicenseStatePrimary
Orthotist 222Z00000X CO005544 NC
Prosthetist 224P00000X CPO03842 NC Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.