Individual provider Active NPI

Cindy Oldson Lamielle, PA-C

  • Physician Assistant
  • Bayboro, NC
National Provider Identifier
1588618656
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103278 Issued in NC
Practice address
313 Main St
Bayboro, NC 28515
Phone
(252) 745-2070
Fax
(252) 745-2202
NPI assigned
May 21, 2006
Last updated
Mar 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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 103278 NC Primary

Addresses

Primary practice location

313 Main St
Bayboro, NC 28515

Mailing address

PO Box 416
Bayboro, NC 28515-0416
Phone (252) 745-2070

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
I20080422000259 NC Practitioner - Physician Assistant 8224116926

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.19 of 100Reported as group
Quality
84.52
Promoting interoperability
100
Improvement activities
40
Cost
82.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103278NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pamlico Pediatrics, PC Past Accepting new patients
Cityblock Medical Practice, P.a. Past Accepting new patients
Cityblock Medical Practice NC, P.C. PastSince Sep 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cindy.lamielle.1@27775.direct.athenahealth.com
  • Direct secure messaging: cindy.lamielle.1@9526.direct.athenahealth.com

Organizations & group practices 3

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": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1588618656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "285150416",
            "telephone_number": "252-745-2070",
            "fax_number": "252-745-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "28515",
            "telephone_number": "252-745-2070",
            "fax_number": "252-745-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMIELLE",
        "first_name": "CINDY",
        "middle_name": "OLDSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayboro, NC

Sources for this page

Verify at the official NPI Registry.