NPIMap

Individual provider Active NPI

Lisa Ann Gross, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1396375325
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09822 Issued in NC
Practice address
2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone
(336) 716-9150
Fax
(336) 702-9166
NPI assigned
Jan 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 0010-09822 NC Primary

Addresses

Primary practice location

2005 Pisgah Church Rd
Greensboro, NC 27455-3309

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255

Other practice location 1

3007 Town Center Dr Ste 100
Fayetteville, NC 28306-3663
Phone (910) 354-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200626002158 NC Practitioner - Physician Assistant 8921420571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

150 Francam Dr
Suite 120
Fayetteville, NC 28311-4500
Phone (910) 487-1100

3120 Northline Ave
Greensboro, NC 27408-7814

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-09822NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Nov 29, 2022 Accepting new patients
Fastmed P.C. CurrentSince Nov 3, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Mar 10, 2025 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients
Fastmed Urgent Care PC PastSince Jan 1, 2020 Accepting new patients

Locations

178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

150 Francam Dr
Ste 120
Fayetteville, NC 28311
Phone (910) 487-1100

3007 Town Center Dr
Ste 100101
Fayetteville, NC 28306
Phone (910) 354-1281

2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

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

Interoperability endpoints

  • Direct secure messaging: lgross2992082@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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 5

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": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396375325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-716-9150",
            "fax_number": "336-702-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3007 Town Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283063663",
            "country_code": "US",
            "telephone_number": "910-354-1281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.