Active NPI
Lawson Support Services, LLC
- Community/Behavioral Health Agency
- North Wilkesboro, NC
National Provider Identifier
1427186105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LAWSON SUPPORT SERVICES, LLC
- Practice address
- 723 Main Street
North Wilkesboro, NC 28659-4211 - Phone
- (336) 838-5575
- Fax
- (336) 838-5573
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia A Lawson, QP
- Title
- Program Administrator
- Phone
- (336) 372-6083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
723 Main Street
North Wilkesboro, NC 28659-4211
Mailing address
PO Box 189
Sparta, NC 28675-0189
Phone (336) 372-6083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5904328 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1427186105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "SPARTA",
"state": "NC",
"postal_code": "286750189",
"telephone_number": "336-372-6083",
"fax_number": "336-372-6087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 MAIN STREET",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286594211",
"telephone_number": "336-838-5575",
"fax_number": "336-838-5573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWSON SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
"authorized_official_telephone_number": "336-372-6083",
"authorized_official_credential": "QP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904328",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.