Organization Active NPI

Lawrence M Linett, MD, PLLC

  • Sports Medicine (Family Medicine) Physician
  • Jacksonville, NC
National Provider Identifier
1396938171
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
29322 Issued in NC
Legal business name
LAWRENCE M LINETT, MD, PLLC
Practice address
431 Western Blvd Ste E
Jacksonville, NC 28546-6823
Phone
(910) 355-6000
Fax
(910) 355-7533
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence M. Linett, M.D.
Title
Owner
Phone
(910) 791-2788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X 29322 NC Primary

Addresses

Primary practice location

431 Western Blvd Ste E
Jacksonville, NC 28546-6823

Mailing address

2595 S 17TH St
Wilmington, NC 28401-7748
Phone (910) 791-2788

Other identifiers 1

IdentifierTypeStateIssuer
52071OtherNCBC/BS

National Provider Directory

National Provider Directory

Locations

431 Western Blvd
Ste E
Jacksonville, NC 28546
Phone (910) 355-6000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1396938171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017748",
            "telephone_number": "910-791-2788",
            "fax_number": "910-791-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 WESTERN BLVD STE E",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466823",
            "telephone_number": "910-355-6000",
            "fax_number": "910-355-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M LINETT, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "LINETT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-791-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "29322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "52071",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.