Active NPI
Elizabeth Delouise, DO
- Pediatrics Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2016-02319
- Practice address
- 36 McNeill PLZ
Whiteville, NC 28472-8602 - Phone
- (910) 640-4064
- NPI assigned
- Mar 27, 2011
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2016-02319 | NC | Primary |
Addresses
Primary practice location
36 McNeill PLZ
Whiteville, NC 28472-8602
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331
Other practice location 2
14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 653-7000
Other practice location 3
14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 653-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crhs@crhn.cernerdirect.com | Columbus Regional Healthcare System, Inc. |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170109002223 | NC | Practitioner - Pediatric Medicine | 0446531347 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-02319 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawson Med Urgent Care, PC | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients | |
| Columbus Regional Health Network | Past | Accepting new patients |
Locations
14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680
36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064
612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064
619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331
608 Dawson St
Ste 101
Wilmington, NC 28401
Phone (910) 387-3745
608 Dawson St
Ste 103
Wilmington, NC 28401
Phone (910) 387-3745
Interoperability endpoints
- edelouise@crhn.cernerdirect.com
- crhs@crhn.cernerdirect.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1134509912
-
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
-
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
-
- Family Medicine Physician
- Tabor City, NC
- NPI 1629318886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1699074872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 MCNEILL PLZ",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284728602",
"telephone_number": "910-640-4064"
}
],
"practiceLocations": [
{
"address_1": "619 Jefferson St",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284723707",
"country_code": "US",
"telephone_number": "910-642-0331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14508 James B White Hwy S",
"address_purpose": "LOCATION",
"city": "Tabor City",
"state": "NC",
"postal_code": "284638358",
"country_code": "US",
"telephone_number": "910-653-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14508 James B White Hwy S",
"address_purpose": "LOCATION",
"city": "Tabor City",
"state": "NC",
"postal_code": "284638358",
"country_code": "US",
"telephone_number": "910-653-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOUISE",
"first_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-27",
"last_updated": "2021-09-27",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2016-02319",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crhs@crhn.cernerdirect.com",
"affiliation": "Y",
"affiliationName": "Columbus Regional Healthcare System, Inc.",
"address_1": "36 McNeill Plz",
"city": "Whiteville",
"state": "NC",
"country_code": "US",
"postal_code": "284728602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.