Individual provider Active NPI

Elizabeth Diane Lemons, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1427632710
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5014511 Issued in NC
Practice address
200 S Post Rd Ste 3
Shelby, NC 28152-6270
Phone
(704) 476-4106
NPI assigned
May 12, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014511 NC Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 254295 NC

Addresses

Primary practice location

200 S Post Rd Ste 3
Shelby, NC 28152-6270

Mailing address

125 Elkwood Dr
Shelby, NC 28152-8024
Phone (704) 297-6095

Other practice location 1

125 Elkwood Dr
Shelby, NC 28152-8024
Phone (704) 297-6095

Other practice location 2

609 N Washington St
Shelby, NC 28150-3810
Phone (704) 751-3693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211018002973 NC Practitioner - Nurse Practitioner 6406254796 Reassigns benefits to 3 organizations
I20250214001463 DC Practitioner - Nurse Practitioner 6406254796 Reassigns benefits to 1 organization
I20250220003145 CA Practitioner - Nurse Practitioner 6406254796 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5014511NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - North Carolina PC CurrentSince Oct 6, 2022 Accepting new patients
Monarch CurrentSince Aug 20, 2021 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Dec 19, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 25, 2024 Accepting new patients
Monarch CurrentSince Aug 20, 2021 Accepting new patients
Phoenix Counseling Center PastSince May 1, 2021 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

4412 Park Rd
Charlotte, NC 28209
Phone (855) 675-4144

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1427632710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ELKWOOD DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528024",
            "telephone_number": "704-297-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S POST RD STE 3",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526270",
            "telephone_number": "704-476-4106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Elkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281528024",
            "country_code": "US",
            "telephone_number": "704-297-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503810",
            "country_code": "US",
            "telephone_number": "704-751-3693",
            "fax_number": "704-751-3992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMONS",
        "first_name": "ELIZABETH",
        "middle_name": "DIANE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014511",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "254295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.