Individual provider Active NPI

Lindsey Boxxe Fiacco, M.D.

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1447587423
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
225737 Issued in NC
Practice address
201 Sage Rd Ste 300
Chapel Hill, NC 27514-6510
Phone
(919) 385-2030
Fax
(919) 385-2094
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 225737 NC Primary

Addresses

Primary practice location

201 Sage Rd Ste 300
Chapel Hill, NC 27514-6510

Mailing address

201 Sage Rd Ste 300
Chapel Hill, NC 27514-6510
Phone (919) 385-2030

Other practice location 1

120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581

Other practice location 2

118 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826000876 NC Practitioner - Pediatric Medicine 5799063798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Mercer University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2609 N Duke St
Durham, NC 27704-3048
Phone (919) 220-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225737NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Behavior and Mental Health CurrentSince Oct 6, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jan 11, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jan 11, 2021 Accepting new patients
Family Care Clinic, P.a. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

201 Sage Rd
Ste 300
Chapel Hill, NC 27514
Phone (919) 385-2030

201 Sage Rd
Chapel Hill, NC 27514
Phone (802) 522-6077

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2609 N Duke St
Ste 1000
Durham, NC 27704
Phone (919) 220-4000

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

144 Memorial Ct
Jacksonville, NC 28546
Phone (910) 346-3976

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: lfiacco477917@direct.medicine.duke.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1447587423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAGE RD STE 300",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146510",
            "telephone_number": "919-385-2030",
            "fax_number": "919-385-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAGE RD STE 300",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146510",
            "telephone_number": "919-385-2030",
            "fax_number": "919-385-2094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466328",
            "country_code": "US",
            "telephone_number": "910-353-0581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466328",
            "country_code": "US",
            "telephone_number": "910-353-0581",
            "fax_number": "910-577-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIACCO",
        "first_name": "LINDSEY",
        "middle_name": "BOXXE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "225737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.