Active NPI
Lucille Rose Sepic
- Physician Assistant
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11235
- Practice address
- 4309 Medical Park Dr Ste 200
Durham, NC 27704-2389 - Phone
- (919) 471-4484
- Fax
- (919) 477-6131
- NPI assigned
- Mar 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-11235 | NC | Primary |
Addresses
Primary practice location
4309 Medical Park Dr Ste 200
Durham, NC 27704-2389
Mailing address
2675 Winkler Ave Ste 200
Fort Myers, FL 33901-9328
Phone (877) 856-3774
Other practice location 1
420 Acorn Falls Ct
Holly Springs, NC 27540-7359
Phone (919) 758-9646
Other practice location 2
7850 Brier Creek Pkwy Ste 102
Raleigh, NC 27617-8900
Phone (919) 748-4878
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4309 Medical Park Dr
Suite 200
Durham, NC 27704-2389
Phone (919) 471-4484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group of NC, PLLC | Current | Accepting new patients |
Locations
2675 Winkler Ave
Ste 200
Fort Myers, FL 33901
4309 Medical Park Dr
Ste 200
Durham, NC 27704
Phone (919) 471-0900
4205 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-6900
5107 Southpark Dr
Ste 104
Durham, NC 27713
Phone (919) 477-6900
Interoperability endpoints
- https://api.platform.athenahealth.com/2523/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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1073832812
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1548855919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE STE 200",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019328",
"telephone_number": "877-856-3774",
"fax_number": "239-599-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 MEDICAL PARK DR STE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042389",
"telephone_number": "919-471-4484",
"fax_number": "919-477-6131"
}
],
"practiceLocations": [
{
"address_1": "420 Acorn Falls Ct",
"address_purpose": "LOCATION",
"city": "Holly Springs",
"state": "NC",
"postal_code": "275407359",
"country_code": "US",
"telephone_number": "919-758-9646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7850 Brier Creek Pkwy Ste 102",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276178900",
"country_code": "US",
"telephone_number": "919-748-4878",
"fax_number": "919-748-4876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEPIC",
"first_name": "LUCILLE",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-07",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.