Active NPI
Archie David Lawson, PA
- Physician Assistant
- Decature, AL
National Provider Identifier
1457582744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 32
- Practice address
- 1847 Beltline Road, SW
Decature, AL 35601 - Phone
- (800) 893-9698
- NPI assigned
- Aug 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 32 | AL | Primary |
Addresses
Primary practice location
1847 Beltline Road, SW
Decature, AL 35601
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 32 | AL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249344000000",
"number": "1457582744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 BELTLINE ROAD, SW",
"city": "DECATURE",
"state": "AL",
"postal_code": "35601",
"telephone_number": "800-893-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "ARCHIE",
"middle_name": "DAVID",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-04",
"last_updated": "2009-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA 32",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.