Individual provider Active NPI

Lauren Therese Lange Smith, M.D.

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1558788034
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2024-02951 Issued in NC
Practice address
110 Kildaire Park Dr
Cary, NC 27518-8162
Phone
(919) 235-6505
Fax
(919) 235-6535
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2024-02951 NC Primary

Addresses

Primary practice location

110 Kildaire Park Dr
Cary, NC 27518-8162

Mailing address

110 Kildaire Park Dr
Cary, NC 27518-8161
Phone (919) 235-6507

Other identifiers 1

IdentifierTypeStateIssuer
1558788034MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223001668 NC Practitioner - Pediatric Medicine 6204243397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024-02951NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC Pediatrics CurrentSince Jan 20, 2025 Accepting new patients
Wake Specialty Physicians LLC Pediatrics CurrentSince Jan 20, 2025 Accepting new patients
Wake Specialty Physicians, LLC Pediatrics Current Accepting new patients
Lakeview Pediatrics, LLC Pediatrics PastSince Dec 7, 2025 Accepting new patients

Locations

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

Interoperability endpoints

  • Direct secure messaging: llangesmith568109@directhisp.wakemed.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1558788034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KILDAIRE PARK DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188161",
            "telephone_number": "919-235-6507",
            "fax_number": "919-235-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KILDAIRE PARK DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188162",
            "telephone_number": "919-235-6505",
            "fax_number": "919-235-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE SMITH",
        "first_name": "LAUREN",
        "middle_name": "THERESE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2024-02951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558788034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.