Individual provider Active NPI

Christina Lynn Lawley, PAC

  • Physician Assistant
  • Statesville, NC
National Provider Identifier
1366623464
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01127 Issued in NC
Practice address
757 Bryant St
Statesville, NC 28677-4142
Phone
(704) 873-5594
Fax
(704) 871-9888
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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 0010-01127 NC Primary

Addresses

Primary practice location

757 Bryant St
Statesville, NC 28677-4142

Mailing address

757 Bryant St
Statesville, NC 28677-4142
Phone (704) 873-5594

Other identifiers 1

IdentifierTypeStateIssuer
P00710770OtherNCRR MEDICARE

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
I20071205000353 NC Practitioner - Physician Assistant 1658460282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

Statesville, NC 28677
Phone (704) 838-2182

515 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 380-3620

557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661

728 Hartness Rd
Statesville, NC 28677-3425
Phone (704) 380-6420

738 Bryant St
Statesville, NC 28677-4189
Phone (704) 873-2219

766 Hartness Rd
Suite B
Statesville, NC 28677-3479

770 Hartness Rd
Statesville, NC 28677-3376
Phone (704) 883-3378

774 Hartness Rd
Statesville, NC 28677-3376
Phone (704) 768-3030

925 Thomas St
Statesville, NC 28677-3484
Phone (704) 883-3378

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-01127NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network LLC CurrentSince Jun 1, 2021 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jul 29, 2013 Accepting new patients
Iredell Physician Network, LLC CurrentSince Jun 1, 2021 Accepting new patients
Iredell Physician Network LLC Past Accepting new patients

Locations

1814 Westchester Dr
Ste 101
High Point, NC 27262
Phone (336) 802-2105

770 Hartness Rd
Statesville, NC 28677
Phone (704) 873-1851

757 Bryant St
Statesville, NC 28677
Phone (704) 873-5658

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: clawley2755270@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: christina.lawley@iredell.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1366623464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 BRYANT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774142",
            "telephone_number": "704-873-5594",
            "fax_number": "704-871-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 BRYANT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774142",
            "telephone_number": "704-873-5594",
            "fax_number": "704-871-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLEY",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00710770",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.