NPIMap

Organization Active NPI

Garner Internal Medicine, P.a.

  • Primary Care Clinic/Center
  • Garner, NC
National Provider Identifier
1679694665
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GARNER INTERNAL MEDICINE, P.A.
Practice address
200 Health Park Dr
Suite 100
Garner, NC 27529-4679
Phone
(919) 773-1223
Fax
(919) 773-1955
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Lynn M Lewis
Title
Practice Manager
Phone
(919) 773-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

200 Health Park Dr
Suite 100
Garner, NC 27529-4679

Mailing address

200 Health Park Dr
Suite 100
Garner, NC 27529-4679
Phone (919) 773-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000067 NC Part B Supplier - Clinic/Group Practice 1355330721 Receives reassigned benefits from 13 practitioners
Practice locations: Garner, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0903839Garner Internal Medicine PA200 Health Park Dr Ste 100, Garner, NC 27529Provider-performed microscopyJul 30, 2027

National Provider Directory

National Provider Directory

Locations

200 Health Park Dr
Ste 100
Garner, NC 27529
Phone (919) 773-1223

200 Health Park Dr
Garner, NC 27529
Phone (919) 733-1223

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1679694665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DR",
            "address_2": "SUITE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294679",
            "telephone_number": "919-773-1223",
            "fax_number": "919-773-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DR",
            "address_2": "SUITE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294679",
            "telephone_number": "919-773-1223",
            "fax_number": "919-773-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER INTERNAL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-773-1223"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.