Individual provider Active NPI

Donald Alwin Nisbett, MD

  • Family Medicine Physician
  • Laurinburg, NC
National Provider Identifier
1487616223
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26332 Issued in NC
Practice address
616 Atkinson St
Laurinburg, NC 28352-4405
Phone
(910) 277-0971
Fax
(910) 276-3156
NPI assigned
Apr 5, 2006
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26332 NC Primary

Addresses

Primary practice location

616 Atkinson St
Laurinburg, NC 28352-4405

Mailing address

616 Atkinson St
Laurinburg, NC 28352-4405
Phone (910) 277-0971

Other identifiers 1

IdentifierTypeStateIssuer
8962686MedicaidNC

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic North Carolina PLLC Family Medicine PastSince Dec 27, 2021 Accepting new patients
Laurel Hill Medical Clinic PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25499/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1487616223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524405",
            "telephone_number": "910-277-0971",
            "fax_number": "910-276-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524405",
            "telephone_number": "910-277-0971",
            "fax_number": "910-276-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISBETT",
        "first_name": "DONALD",
        "middle_name": "ALWIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "26332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962686",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.