Individual provider Active NPI

Lauren Brianne Peyton, PA-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1518564012
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone
(910) 202-3363
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4402 Shipyard Blvd
Wilmington, NC 28403-6161

Mailing address

4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (304) 785-4015

Other practice location 1

100 Airport Rd
Kinston, NC 28501-1604
Phone (252) 522-7129

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
I20201111001136 NC Practitioner - Physician Assistant 7810307428 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medac Health Services PAGroup PAC ID 1254220809, 24 clinicians

Practice addresses (Care Compare)

1442 Military Cutoff Rd
Wilmington, NC 28403-3605
Phone (910) 256-6088

2600 New Village Way
Wilmington, NC 28405-7426
Phone (910) 338-2735

4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone (910) 791-0075

5245 S College Rd
Wilmington, NC 28412-2209
Phone (910) 392-7806

8115 Market St
Suite 100
Wilmington, NC 28411-8428
Phone (910) 686-1972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medac Health Services, PA CurrentSince Jan 10, 2025 Accepting new patients
Ecep II PA CurrentSince Sep 1, 2022 Accepting new patients
Medac Health Services, PA CurrentSince Jan 10, 2025 Accepting new patients

Locations

5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100

2600 New Village Way
Wilmington, NC 28405
Phone (910) 251-5858

8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088

1442 Military Cutoff Rd
Wilmington, NC 28403
Phone (910) 256-6088

5245 College Rd S
Wilmington, NC 28412
Phone (910) 347-1515

4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363

8115 Market St
Wilmington, NC 28411
Phone (910) 256-6088

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

216 Centerview Dr
Ste 100
Brentwood, TN 37027

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1518564012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036161",
            "telephone_number": "304-785-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036161",
            "telephone_number": "910-202-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011604",
            "country_code": "US",
            "telephone_number": "252-522-7129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "LAUREN",
        "middle_name": "BRIANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.