Active NPI
Korsica Lassiter Mebane, MD
- Vascular Surgery Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2021-02443
- Practice address
- Frye Regional Medical Center
420 N Center Street
Hickory, NC 28601 - Phone
- (828) 315-3036
- NPI assigned
- Apr 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2021-02443 | NC | Primary |
Addresses
Primary practice location
Frye Regional Medical Center
420 N Center Street
Hickory, NC 28601
Mailing address
3844 10TH St NE
Hickory, NC 28601-9683
Phone (919) 259-0841
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Brody School of Medicine at East Carolina University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 N Ctr St
Hickory, NC 28601-5036
915 Tate Blvd SE
Hickory, NC 28602-4042
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 17 |
| Removal of tissue | 27 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-02443 | NC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Vascular Surgery | Current | Accepting new patients |
Locations
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
415 N Center St
Ste 203
Hickory, NC 28601
Phone (828) 322-2005
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- korsica.mebane.1@15786.direct.athenahealth.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.
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
dba FryeCare Specialty Center
- Internal Medicine Physician
- Hickory, NC
- NPI 1588103220
Vascular Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMC Blue Ridge
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
dba UNC Health Blue Ridge
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
-
dba Frye Regional Medical Center
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1689093361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3844 10TH ST NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286019683",
"telephone_number": "919-259-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FRYE REGIONAL MEDICAL CENTER",
"address_2": "420 N CENTER STREET",
"city": "HICKORY",
"state": "NC",
"postal_code": "28601",
"telephone_number": "828-315-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEBANE",
"first_name": "KORSICA",
"middle_name": "LASSITER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2022-06-08",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "2021-02443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
- Robin Meade, R.PH.
- Matthew McLean Means, PHARMD
- William McLean Means, RPH
- Measured Dose Pharmacy Inc (Waters Wellness Compounding Pharmacy)
- Measured Dose Pharmacy Inc (The Compounding Pharmacy Infusion Services)
- Medical Center Pharmacy Inc of Hickory
- Medical Center Pharmacy Inc of Hickory
- Medical Services of America Inc (Medi Home Care)
- Kellie Medley, LCMHC
- Haleigh Medlin, COTA/L, BT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.