Individual provider Active NPI

David M Lingle, MD

  • Surgery Physician
  • Ahoskie, NC
National Provider Identifier
1659309755
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2009-00346 Issued in NC
Practice address
700 Academy St S
Ahoskie, NC 27910-3264
Phone
(252) 209-5404
Fax
(252) 209-3490
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101055996 VA
Surgery Physician 208600000X 2009-00346 NC Primary

Addresses

Primary practice location

700 Academy St S
Ahoskie, NC 27910-3264

Mailing address

700 Academy St S
Ahoskie, NC 27910-3264
Phone (252) 209-5404

Other identifiers 1

IdentifierTypeStateIssuer
007301910MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlingle22308@direct.vidanthealth.com Health Information Exchange (HIE)

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
I20090617000348 NC Practitioner - General Surgery 8729138516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Saint Louis University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

500 Academy St S
Vidant Roanoke Chowan Hospitalists
Ahoskie, NC 27910-3248
Phone (252) 209-3708

606 A Academy St S
Ahoskie, NC 27910-3239
Phone (252) 209-3360

608 Academy S St
Vidant Wound Healing Center Ahoskie
Ahoskie, NC 27910-3239
Phone (252) 209-3690

700 A Academy St S
Ahoskie, NC 27910-3264
Phone (252) 209-3614

700 Academy St S
Ahoskie, NC 27910-3264
Phone (252) 209-5404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy64
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30
Melanoma (skin cancer) excision1-10
Removal of tissue77
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101055996VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Dec 1, 2009 Accepting new patients
Shore Health Services, Inc Surgery Past Accepting new patients

Locations

700 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3614

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

Interoperability endpoints

  • Direct secure messaging: dlingle22308@direct.ecuhealth.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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1659309755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103264",
            "telephone_number": "252-209-5404",
            "fax_number": "252-209-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103264",
            "telephone_number": "252-209-5404",
            "fax_number": "252-209-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGLE",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101055996",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2009-00346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007301910",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlingle22308@direct.vidanthealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "700 Academy St S",
            "city": "Ahoskie",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279103264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.