Individual provider Active NPI

Laura Lee Vanderburg, FNP-C

  • Nurse Practitioner
  • Lexington, NC
National Provider Identifier
1407344724
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011124 Issued in NC
Practice address
4705 S Highway 150 Ste B&C
Lexington, NC 27295-5677
Phone
(336) 481-1780
Fax
(336) 481-1789
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011124 NC Primary
Family Nurse Practitioner 363LF0000X 5011124 NC
Pain Medicine Physician 208VP0000X 5011124 NC
Women's Health Nurse Practitioner 363LW0102X 5011124 NC

Addresses

Primary practice location

4705 S Highway 150 Ste B&C
Lexington, NC 27295-5677

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

410 College Rd
Greensboro, NC 27410-5151
Phone (336) 883-0029

Other practice location 2

3402 Battleground Ave
Greensboro, NC 27410-2578
Phone (336) 883-0029

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
I20181211003415 NC Practitioner - Nurse Practitioner 5092059428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

Hospital & facility affiliations

  • Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085
  • Lexington Memorial Hospital Inc Hospital, Lexington, NC, CCN 340096
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011124NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 8, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 8, 2025 Accepting new patients
Bethany Medical Center Past Accepting new patients
Bethany Medical Center, PA Past Accepting new patients
Bethany Medical Center Pain Medicine Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

110 W Medical Park Dr
Lexington, NC 27292
Phone (336) 248-8692

4705 S Highway 150
Ste Bc
Lexington, NC 27295
Phone (336) 481-1780

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: lauravanderburg@bethanymed.allscriptsdirect.net
  • Direct secure messaging: lvanderburg1722199@direct.novanthealth.org

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 3

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1407344724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 S HIGHWAY 150 STE B&C",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955677",
            "telephone_number": "336-481-1780",
            "fax_number": "336-481-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 College Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274105151",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3402 Battleground Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102578",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERBURG",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011124",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011124",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "5011124",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5011124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.