Active NPI
Lisa C Nelson-Robinson, MD
- Surgery Physician
- Rocky Mount, NC
National Provider Identifier
1649264599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36785
- Practice address
- 250 Nash Medical Arts Mall
Suite a
Rocky Mount, NC 27804-0000 - Phone
- (252) 937-0227
- Fax
- (252) 937-3105
- NPI assigned
- Sep 7, 2005
- Last updated
- Mar 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36785 | NC | Primary |
| Vascular Surgery Physician | 2086S0129X | 36785 | NC |
Addresses
Primary practice location
250 Nash Medical Arts Mall
Suite a
Rocky Mount, NC 27804-0000
Mailing address
PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 722495 | Other | NC | CIGNA HEALTHCARE |
| 20024903 | Other | NC | RAILROAD MEDICARE |
| 51701 | Other | NC | MEDCOST |
| 72015 | Other | NC | BCBSNC |
| 8972015 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1649264599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7200",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040200",
"telephone_number": "252-937-0200",
"fax_number": "252-451-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NASH MEDICAL ARTS MALL",
"address_2": "SUITE A",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040000",
"telephone_number": "252-937-0227",
"fax_number": "252-937-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON-ROBINSON",
"first_name": "LISA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "36785",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "36785",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "722495",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "20024903",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "51701",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "72015",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8972015",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.