Individual provider Active NPI

Logan Nicole Lockwood

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1386352185
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001015111 Issued in NC
Practice address
1126 N Church St Ste 300
Greensboro, NC 27401-1037
Phone
(336) 938-0800
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 001015111 NC Primary

Addresses

Primary practice location

1126 N Church St Ste 300
Greensboro, NC 27401-1037

Mailing address

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5220

Other practice location 1

1220 Magnolia St
Greensboro, NC 27401-1309
Phone (336) 938-0800

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
I20250415000551 NC Practitioner - Physician Assistant 8921523747 Reassigns benefits to 1 organization

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
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

Practice addresses (Care Compare)

110 S Park Ter
Suite a
Eden, NC 27288-5351
Phone (336) 627-3878

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

1220 Magnolia St
Greensboro, NC 27401-1309

1236 Huffman Mill Rd
Suite 130
Burlington, NC 27215-8700
Phone (336) 438-1060

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Suite 101
Burlington, NC 27215-8700
Phone (336) 275-0927

501 N Elam Ave
Greensboro, NC 27403-1118
Phone (336) 832-1000

509 E N Elam Ave
FL 3
Greensboro, NC 27403-1118
Phone (336) 832-1970

618 S Main St
Reidsville, NC 27320-5020
Phone (336) 938-0800

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001015111NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince May 19, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 19, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1220 Magnolia St
Greensboro, NC 27401
Phone (336) 938-0080

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

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 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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1386352185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011229",
            "telephone_number": "336-663-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N CHURCH ST STE 300",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011037",
            "telephone_number": "336-938-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011309",
            "country_code": "US",
            "telephone_number": "336-938-0800",
            "fax_number": "336-938-0755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "LOGAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001015111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.