Organization Active NPI

Beverly Joyce Lessane MD Internal Medicine PLLC

  • Internal Medicine Physician
  • Kannapolis, NC
National Provider Identifier
1417624917
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BEVERLY JOYCE LESSANE MD INTERNAL MEDICINE PLLC
Practice address
521B N Cannon Blvd
Kannapolis, NC 28083-3801
Phone
(704) 933-2418
Fax
(704) 933-1616
NPI assigned
Aug 24, 2021
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Beverly Joyce Lessane, MDNPI 1740251875
Title
Medical Director
Phone
(704) 791-4867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

521B N Cannon Blvd
Kannapolis, NC 28083-3801

Mailing address

PO Box 5086
Concord, NC 28027-1562
Phone (704) 791-4867

Other practice location 1

407 Mercer Mill Rd
Elizabethtown, NC 28337-3952
Phone (910) 247-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211110000183 NC Part B Supplier - Clinic/Group Practice 3476942608 Practice locations: Kannapolis, NC

National Provider Directory

National Provider Directory

Locations

407 Mercer Mill Rd
Elizabethtown, NC 28337
Phone (910) 247-6454

521 N Cannon Blvd
Ste B
Kannapolis, NC 28083
Phone (704) 791-4867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1417624917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5086",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280271562",
            "telephone_number": "704-791-4867",
            "fax_number": "703-933-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521B N CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280833801",
            "telephone_number": "704-933-2418",
            "fax_number": "704-933-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Mercer Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283373952",
            "country_code": "US",
            "telephone_number": "910-247-6454",
            "fax_number": "910-247-6482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEVERLY JOYCE LESSANE MD INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "LESSANE",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-791-4867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.