Individual provider Active NPI

Christopher Lacroix, MD

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1669437984
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2005-01730 Issued in NC
Practice address
705 WH Smith Blvd
Greenville, NC 27834
Phone
(252) 329-8482
Fax
(252) 558-0788
NPI assigned
Apr 19, 2006
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200501730 NC
Internal Medicine Physician 207R00000X 2005-01730 NC Primary

Addresses

Primary practice location

705 WH Smith Blvd
Greenville, NC 27834

Mailing address

705 WH Smith Blvd
Greenville, NC 27834-3752
Phone (252) 329-8482

Other practice location 1

705 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 329-8482

Other practice location 2

1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101 ext. 244

Other identifiers 1

IdentifierTypeStateIssuer
5902689MedicaidNC

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
I20051219000826 NC Practitioner - Internal Medicine 8426955113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-01730NCMDInternal Medicine Physician
200501730NCMDInternal Medicine Physician
25175SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pitt Internal Medicine PLLC Internal Medicine CurrentSince Apr 10, 2019 Accepting new patients

Locations

705 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 329-8482

Interoperability endpoints

  • Direct secure messaging: christopher.lacroix@67637088944132.direct.elationemr.com

Organizations & group practices 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1669437984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343752",
            "telephone_number": "252-329-8482",
            "fax_number": "252-558-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WH SMITH BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-329-8482",
            "fax_number": "252-558-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Wh Smith Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "27834",
            "country_code": "US",
            "telephone_number": "252-329-8482",
            "fax_number": "252-558-0788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 Cowell Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278893431",
            "country_code": "US",
            "telephone_number": "252-946-2101 x244",
            "fax_number": "252-946-9896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200501730",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-01730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902689",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.