Organization Active NPI

Lenoir Family Medicine, PA

  • Family Medicine Physician
  • Kinston, NC
National Provider Identifier
1437250321
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LENOIR FAMILY MEDICINE, PA
Practice address
107 Airport Rd
Kinston, NC 28501-1603
Phone
(252) 527-4146
Fax
(252) 527-5697
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Laddie Moore Crisp Jr., M.D.
Title
President
Phone
(252) 527-4146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

107 Airport Rd
Kinston, NC 28501-1603

Mailing address

107 Airport Rd
Kinston, NC 28501-1603
Phone (252) 527-4146

Other identifiers 2

IdentifierTypeStateIssuer
89013RGMedicaidNC
0164UOtherNCBCBS/NC

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: laddie-crisp@lenoirfamily.e-mdsdirect.com
  • Direct secure messaging: amy-kornegay@lenoirfamily.e-mdsdirect.com
  • Direct secure messaging: fernando-escabimendez@lenoirfamily.e-mdsdirect.com
  • Direct secure messaging: carlton-crain@lenoirfamily.e-mdsdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1437250321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011603",
            "telephone_number": "252-527-4146",
            "fax_number": "252-527-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011603",
            "telephone_number": "252-527-4146",
            "fax_number": "252-527-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "LADDIE",
        "authorized_official_middle_name": "MOORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-527-4146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013RG",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/NC",
            "identifier": "0164U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.