Active NPI
Lonnie W Lassiter II, M.D.
- Family Medicine Physician
- Forest City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2000-00509
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126VP | Other | NC | BCBS |
| 89126VP | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH, TN, VA, FL, MI, IN, AL, TX, SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Specialists
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-00509 | NC | MD | Family Medicine Physician |
| 200000509 | NC | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mend Health LLC | Current | Accepting new patients | |
| Tryon Family Physicians | Family Medicine | Past | Accepting new patients |
| Rejuven Joint Care | Family Medicine | Past | Accepting new patients |
| Rejuven Joint Care | Family Medicine | Past | 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.
-
- Family Nurse Practitioner
- Easley, SC
- NPI 1528343720
-
- Adult Health Nurse Practitioner
- Greer, SC
- NPI 1528473824
-
- Family Nurse Practitioner
- Myrtle Beach, SC
- NPI 1831824739
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.
-
- Family Nurse Practitioner
- Kettering, OH
- NPI 1760240527
-
- Family Medicine Physician
- Forest City, NC
- NPI 1538366372
AL, FL, GA, IN, MI, OH, TN, TX, VA
-
- Family Medicine Physician
- Columbus, NC
- NPI 1063463446
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
- Kyle Judson Kenyon, PA-C
- Jane D. Kirkpatrick, M.D.
- Curtis Koone, PHARMD
- Matthew William Kramer, DO
- Margaret Chesser Krusch, PA
- Mark E Lattimore, M.DIV, LCASA
- Mark Thomas Edward Lattimore, LMHCA
- Gretchen A. Lawrence, DPM
- Paul Layman, PA
- Leaps & Bounds Therapetuic Solutions Inc. (Leaps & Bounds Therapeutic Solutions Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.