Individual provider Active NPI

Lydia A Teague, AGNP-C

  • Primary Care Nurse Practitioner
  • Weaverville, NC
National Provider Identifier
1467075440
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5013276 Issued in NC
Practice address
104 N Main St
Weaverville, NC 28787-8230
Phone
(828) 645-7974
Fax
(828) 645-9798
NPI assigned
May 25, 2020
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5013276 NC Primary

Addresses

Primary practice location

104 N Main St
Weaverville, NC 28787-8230

Mailing address

104 N Main St
Weaverville, NC 28787-8230
Phone (828) 645-7974

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804003793 NC Practitioner - Nurse Practitioner 8729403985 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopscotch Primary Care PLLCGroup PAC ID 7911173380, 47 clinicians

Practice addresses (Care Compare)

104 N Main St
Weaverville, NC 28787-8230
Phone (828) 645-7974

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Ridge Family Medicine PLLC CurrentSince Mar 17, 2025 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jun 29, 2020 Accepting new patients
Hopscotch Primary Care, PLLC CurrentSince Mar 17, 2025 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jun 29, 2020 Accepting new patients
DLP Western Carolina Physician Practices LLC Nurse Practitioner CurrentSince Oct 2, 2023 Accepting new patients
Jackson Medical Associates, PLLC CurrentSince Jul 1, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Oct 2, 2023 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. PastSince Jul 1, 2024 Accepting new patients
Hopscotch Primary Care Group, PA Past Accepting new patients

Locations

6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898

600 Hospital Dr
Ste 9
Clyde, NC 28721
Phone (828) 452-0331

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

4007 M L King Jr Blvd
New Bern, NC 28562
Phone (252) 772-9995

4114 M L King Jr Blvd
New Bern, NC 28562
Phone (252) 772-9995

1188 Skyland Dr
Sylva, NC 28779
Phone (828) 339-2273

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

104 N Main St
Weaverville, NC 28787
Phone (817) 966-0621

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26812/brand/6/csg/1/fhir/r4
  • Direct secure messaging: lteague@goshenmedical.cloudcraftdirect.com
  • Direct secure messaging: lydia.teague.1@26812.direct.athenahealth.com
  • Direct secure messaging: lydia.teague.1@9865.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1467075440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878230",
            "telephone_number": "828-645-7974",
            "fax_number": "828-645-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878230",
            "telephone_number": "828-645-7974",
            "fax_number": "828-645-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "LYDIA",
        "middle_name": "A",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5013276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

Verify at the official NPI Registry.