Individual provider Active NPI

Lonnie W Lassiter II, M.D.

  • Family Medicine Physician
  • Forest City, NC
National Provider Identifier
1457302804
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000-00509 Issued in NC
Practice address
112 Sparks Dr
Forest City, NC 28043-9021
Phone
(828) 351-6000
Fax
(828) 894-5864
NPI assigned
May 12, 2006
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2000-00509 NC Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 200000509 NC

Addresses

Primary practice location

112 Sparks Dr
Forest City, NC 28043-9021

Mailing address

112 Sparks Dr
Forest City, NC 28043-9021
Phone (828) 351-6000

Other practice location 1

242 Adley Way
Greenville, SC 29607-6511
Phone (864) 203-5715

Other practice location 2

167 Ashton Ave
Mount Juliet, TN 37122-1516
Phone (704) 675-7279

Other identifiers 2

IdentifierTypeStateIssuer
126VPOtherNCBCBS
89126VPMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, TN, VA, FL, MI, IN, AL, TX, SC, GA12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20050120000996 NC Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20250324003538 OH Practitioner - Family Practice 4688644925 Reassigns benefits to 2 organizations
I20250516002027 TN Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260306000500 VA Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260306003231 FL Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260318002416 MI Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260319001240 IN Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260319001632 AL Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260329000077 TX Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260408002307 SC Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
I20260625003647 GA Practitioner - Family Practice 4688644925 Reassigns benefits to 1 organization
O20260408001825 SC Part B Supplier - Clinic/Group Practice 6608959549 Receives reassigned benefits from 4 practitioners
Practice locations: Greer, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care SpecialistsGroup PAC ID 6608959549, shared by 2 NPIs, 5 clinicians
Mend Health LLCGroup PAC ID 6507205838, 12 clinicians

Practice addresses (Care Compare)

Mount Juliet, TN 37122
Phone (704) 675-7279

Austin, TX 78704
Phone (828) 351-6000

1050 Forrer Blvd
Kettering, OH 45420-3640
Phone (828) 351-6000

112 Sparks Dr
Forest City, NC 28043-9021
Phone (828) 351-6000

1615 Chisholm Rd
Florence, AL 35630-2209
Phone (828) 351-6000

2 Hampstead PL
Greer, SC 29650-3659
Phone (828) 351-6000

2604 S Blaine St
Muncie, IN 47302-5355
Phone (704) 675-7279

5434 W Tyson Ave
Unit 1340
Tampa, FL 33611-3687
Phone (828) 351-6000

6541 Rolling Brook Rd
Apt 105 11
Roanoke, VA 24019-1452
Phone (704) 675-7279

7956 Mountain Top Trail
Hiawasee, GA 30546-3200
Phone (704) 675-7279

9294 Stonebridge Dr
Stanwood, MI 49346-8318
Phone (828) 351-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000-00509NCMDFamily Medicine Physician
200000509NCMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mend Health LLC CurrentSince Jan 12, 2025 Accepting new patients
Tryon Family Physicians Family Medicine PastSince Aug 4, 2000 Accepting new patients
Rejuven Joint Care Family Medicine Past Accepting new patients
Rejuven Joint Care Family Medicine PastSince Feb 18, 2024 Accepting new patients

Locations

1050 Forrer Blvd
Kettering, OH 45420
Phone (937) 298-1111

1050 Forrer Blvd
#250
Kettering, OH 45420
Phone (937) 894-1220

Practitioners & affiliated clinicians

Practitioners 3

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.

Organizations & group practices 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1457302804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-351-6000",
            "fax_number": "828-287-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPARKS DR",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280439021",
            "telephone_number": "828-351-6000",
            "fax_number": "828-894-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Adley Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076511",
            "country_code": "US",
            "telephone_number": "864-203-5715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Ashton Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371221516",
            "country_code": "US",
            "telephone_number": "704-675-7279",
            "fax_number": "704-675-7279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "LONNIE",
        "middle_name": "W",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2000-00509",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "200000509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "126VP",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126VP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

Verify at the official NPI Registry.