Individual provider Active NPI

Lindsay Jones Lillibridge, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1669264586
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022188 Issued in NC
Practice address
12611 N Community House Rd Ste 200
Charlotte, NC 28277-3597
Phone
(704) 731-1014
Fax
(704) 731-1376
NPI assigned
May 19, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 5022188 NC Primary

Addresses

Primary practice location

12611 N Community House Rd Ste 200
Charlotte, NC 28277-3597

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

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
I20250815000820 NC Practitioner - Nurse Practitioner 3173022365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

1450 Matthews Township Pkwy
Suite 300
Matthews, NC 28105-5332
Phone (704) 321-1077

1955 S US 29 Hwy
China Grove, NC 28023-5684
Phone (704) 855-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5022188NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 24, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 24, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 25, 2025 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

1955 S US 29 Hwy
China Grove, NC 28023
Phone (704) 855-7611

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

1450 Matthews Township Pkwy
Ste 300
Matthews, NC 28105
Phone (704) 321-1077

911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: llillibridge1721383@direct.novanthealth.org

Organizations & group practices 6

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1669264586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 N COMMUNITY HOUSE RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773597",
            "telephone_number": "704-731-1014",
            "fax_number": "704-731-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIBRIDGE",
        "first_name": "LINDSAY",
        "middle_name": "JONES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.