Individual provider Active NPI

Lori Moore Langdon, MD

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1649260043
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9800305 Issued in NC
Practice address
2406 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6678
Phone
(919) 786-5001
Fax
(919) 786-5051
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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 9800305 NC Primary

Addresses

Primary practice location

2406 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6678

Mailing address

2406 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6678
Phone (919) 786-5001

Other identifiers 2

IdentifierTypeStateIssuer
9800305OtherNCMEDICAL LICENSE
891149FMedicaidNC

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
I20140328002162 NC Practitioner - Pediatric Medicine 6507097847 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA CurrentSince Feb 14, 2014 Accepting new patients
Campbell University Health Center, LLC Past Accepting new patients

Locations

2406 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 786-5001

Interoperability endpoints

  • Direct secure messaging: lori.langdon.1@22709.direct.athenahealth.com
  • Direct secure messaging: llangdon90577@capefearvalley.direct-ci.com

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, 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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1649260043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076678",
            "telephone_number": "919-786-5001",
            "fax_number": "919-786-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076678",
            "telephone_number": "919-786-5001",
            "fax_number": "919-786-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "LORI",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9800305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "9800305",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891149F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.