Individual provider Active NPI

Laurie Ann Powers, PA-C

  • Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1629122817
Registry record updated Jan 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101381 Issued in NC
Practice address
201 S McPherson Church Rd Ste 233
Fayetteville, NC 28303-4995
Phone
(910) 212-6548
Fax
(910) 460-3967
NPI assigned
Jan 23, 2007
Last updated
Jan 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101381 NC Primary
Medical Physician Assistant 363AM0700X 101381 NC
Mental Health Counselor 101YM0800X 101381 NC

Addresses

Primary practice location

201 S McPherson Church Rd Ste 233
Fayetteville, NC 28303-4995

Mailing address

109 S Churchill Dr
Fayetteville, NC 28303-5023
Phone (910) 322-1630

Other practice location 1

2529 Raeford Rd
Fayetteville, NC 28305-5098
Phone (910) 212-6548

Other practice location 2

2850 Village Dr Ste 201
Fayetteville, NC 28304-3864
Phone (910) 446-1653

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
I20040518001232 NC Practitioner - Physician Assistant 9133110364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 S McPherson Church Rd
Suite 233
Fayetteville, NC 28303-4995
Phone (910) 212-6548

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Diagnostic, LLC PastSince Jan 7, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1629122817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S CHURCHILL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035023",
            "telephone_number": "910-322-1630",
            "fax_number": "910-212-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MCPHERSON CHURCH RD STE 233",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034995",
            "telephone_number": "910-212-6548",
            "fax_number": "910-460-3967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055098",
            "country_code": "US",
            "telephone_number": "910-212-6548",
            "fax_number": "910-460-3967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 Village Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043864",
            "country_code": "US",
            "telephone_number": "910-446-1653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101381",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101381",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "101381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.