Active NPI
DLP Person Memorial Hospital LLC
Doing business as Person Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Roxboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- Legal business name
- DLP PERSON MEMORIAL HOSPITAL LLC
- Doing business as
- Person Memorial Hospital
- Practice address
- 615 Ridge Rd
Roxboro, NC 27573-4629 - Phone
- (336) 599-2121
- Fax
- (336) 503-5765
- NPI assigned
- Feb 8, 2022
- Last updated
- Apr 29, 2024
- Organization subpart
- Yes
- Parent organization
- DLP PERSON MEMORIAL HOSPITAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Primary |
Addresses
Primary practice location
615 Ridge Rd
Roxboro, NC 27573-4629
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000
Other names 1
- Person Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220311001742 | NC | Part A Provider - Hospital | 7618134131 | Practice locations: Roxboro, NC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508510611. Details of each certification follow.
Hospital certification: CCN 34U159
- Legal name
- DLP PERSON MEMORIAL HOSPITAL LLC
- Doing business as
- PERSON MEMORIAL HOSPITAL
- Organization structure
- LLC
- Incorporated
- Aug 3, 2011 in DE
- Enrollment address
- 615 Ridge Rd
Roxboro, NC 27573-4629 - Hospital subgroups
- Swing-bed approved
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Person Memorial Hospital
- General Acute Care Hospital
- Roxboro, NC
- NPI 1881977593
Unit of hospital
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Person Memorial Hospital
- General Acute Care Hospital
- Roxboro, NC
- NPI 1881977593
7618134131
-
dba Person Memorial Hospital
- Skilled Nursing Facility
- Roxboro, NC
- NPI 1942583752
7618134131
National Provider Directory
National Provider Directory- Tax ID family
- DLP Person Memorial Hospital LLC
- Part of
- DLP Person Memorial Hospital LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Person Memorial Hospital
- General Acute Care Hospital
- Roxboro, NC
- NPI 1568507036
-
dba Person Memorial Hospital
- Clinical Medical Laboratory
- Roxboro, NC
- NPI 1710561113
-
dba Person Memorial Hospital
- General Acute Care Hospital
- Roxboro, NC
- NPI 1881977593
-
dba Person Memorial Hospital
- Skilled Nursing Facility
- Roxboro, NC
- NPI 1942583752
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lifepoint Holdings 2 LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 97% |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 97% |
| Lifepoint Hospitals Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 97% |
| Elmer B Polite | Corporate Officer | Jun 1, 2023 | |
| DLP Healthcare LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2011 | 100% |
| Bertrand Bramlet Beard | Operational/Managerial Control | May 1, 2022 | |
| Historic Lifepoint Hospitals, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 97% |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 97% |
| Marcus B Poppell | Corporate Officer | Nov 16, 2018 | |
| Charlotte E Lawrence | Corporate Officer | Mar 24, 2022 | |
| DLP Partner LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 97% |
| Elliott Brown | Corporate Officer | Apr 2, 2026 | |
| Phillip Sensing | Corporate Officer | May 4, 2026 | |
| Christopher J Monte | Corporate Officer | Oct 1, 2011 | |
| Legacy Lifepoint Health LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 97% |
Facilities with the same owner 202
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Central Carolina Hospital
- General Acute Care Hospital
- Sanford, NC
- NPI 1902836943
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Family Care South
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1003508367
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Community Family Care
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1073204715
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1174208813
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Women's Health Center
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1518642255
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Sandhills Family Care
- Rural Health Clinic/Center
- Broadway, NC
- NPI 1578254215
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Central Carolina Gynecology and Aesthetics
- Rural Health Clinic/Center
- Sanford, NC
- NPI 1790568046
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1275557654
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- Psychiatric Hospital Unit
- Hickory, NC
- NPI 1659393932
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Harris Regional Hospital
- General Acute Care Hospital
- Sylva, NC
- NPI 1407962046
DLP Healthcare LLC, DLP Partner LLC, Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1508510611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 RIDGE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734629",
"telephone_number": "336-599-2121",
"fax_number": "336-503-5765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DLP PERSON MEMORIAL HOSPITAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DLP PERSON MEMORIAL HOSPITAL LLC",
"enumeration_date": "2022-02-08",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "615-920-7000"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Person Memorial Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Person Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Roxboro, NC
- Jay Emmanuel De la Cruz
- Melissa Roseann Dean-Appasu, NP
- James Russell Devillier, MD
- Vijay R Dhoopati, MD
- Lauren Dipietro, OTR/L
- DLP Person Memorial Hospital LLC (Person Memorial Hospital)
- DLP Person Memorial Hospital LLC (Person Memorial Hospital)
- DLP Person Memorial Hospital LLC (Person Memorial Hospital)
- DLP Person Memorial Hospital LLC (Person Memorial Hospital)
- DLP Person Physician Practices LLC (Person Gynecology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.