Individual provider Active NPI

Lawanna Marie Starks, MD

  • Pediatrics Physician
  • Buckhannon, WV
National Provider Identifier
1457433690
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28910 Issued in WV
Practice address
21 Auction LN Ste a
Buckhannon, WV 26201
Phone
(304) 473-2305
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2006-00525 NC
Pediatrics Physician 208000000X 28910 WV Primary

Addresses

Primary practice location

21 Auction LN Ste a
Buckhannon, WV 26201

Mailing address

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

Other practice location 1

2315 W. Arbors Drive
Suite 115
Charlotte, NC 28262-2639
Phone (704) 717-2826

Other practice location 2

2315 W. Arbors Drive
Suite 115
Charlotte, NC 28262-2639
Phone (704) 717-2826

Other identifiers 1

IdentifierTypeStateIssuer
5906849MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lstarks135138@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20221209001859 NC Practitioner - Pediatric Medicine 8921341637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Minnesota Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

1821 Hillandale Rd
Suite 24a
Durham, NC 27705-2671
Phone (919) 383-4355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00525NCMDPediatrics Physician
28910WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Pediatrics CurrentSince Nov 7, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. Past Accepting new patients
Starks Pediatrics at Mallard Creek, PLLC Pediatrics Past Accepting new patients
St Josephs Hospital of Buckhannon Pediatrics Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

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

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: lstarks530886@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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1457433690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMALIA DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012239",
            "telephone_number": "304-473-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 AUCTION LN STE A",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "26201",
            "telephone_number": "304-473-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 W. Arbors Drive",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622639",
            "country_code": "US",
            "telephone_number": "704-717-2826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 W. Arbors Drive",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622639",
            "country_code": "US",
            "telephone_number": "704-717-2826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARKS",
        "first_name": "LAWANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2006-00525",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "28910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906849",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstarks135138@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21 Auction Ln Ste A",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262018968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buckhannon, WV

Sources for this page

Verify at the official NPI Registry.