Individual provider Active NPI

Linda Kathryn Botts, NP-C

  • Nurse Practitioner
  • Thomasville, NC
National Provider Identifier
1477923316
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008079 Issued in NC
Practice address
1033 Randolph St
Thomasville, NC 27360-5785
Phone
(336) 860-0843
Fax
(336) 313-5944
NPI assigned
Oct 5, 2015
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0815035 NC
Nurse Practitioner 363L00000X 5008079 NC Primary

Addresses

Primary practice location

1033 Randolph St
Thomasville, NC 27360-5785

Mailing address

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (919) 341-4016

Other practice location 1

4306 Cheyenne Dr
Archdale, NC 27263-3245
Phone (336) 481-1980

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
I20160707000640 NC Practitioner - Nurse Practitioner 5294027512 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008079NCMDNurse Practitioner
F0815035NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mediq Urgent Care PC CurrentSince Sep 20, 2021 Accepting new patients
DRX High Point, PLLC CurrentSince Jul 27, 2022 Accepting new patients
Mediq Urgent Care PC CurrentSince Sep 20, 2021 Accepting new patients
Med First Immediate Care & Family Practice, PA PastSince Aug 1, 2020 Accepting new patients

Locations

10102 S Main St
Ste U
Archdale, NC 27263
Phone (336) 900-1441

5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

12201 N NC Highway 150
Ste 11
Winston Salem, NC 27127
Phone (336) 738-1691

Organizations & group practices 4

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1477923316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E MILLBROOK RD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094971",
            "telephone_number": "919-341-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 RANDOLPH ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605785",
            "telephone_number": "336-860-0843",
            "fax_number": "336-313-5944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4306 Cheyenne Dr",
            "address_purpose": "LOCATION",
            "city": "Archdale",
            "state": "NC",
            "postal_code": "272633245",
            "country_code": "US",
            "telephone_number": "336-481-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTS",
        "first_name": "LINDA",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0815035",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.