Individual provider Active NPI

Elizabeth Delouise, DO

  • Pediatrics Physician
  • Whiteville, NC
National Provider Identifier
1699074872
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2016-02319 Issued in NC
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

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2016-02319NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson Med Urgent Care, PC CurrentSince Apr 20, 2023 Accepting new patients
Columbus Regional Health Network CurrentSince Dec 1, 2016 Accepting new patients
Columbus Regional Health Network CurrentSince Dec 1, 2016 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

  • Direct secure messaging: edelouise@crhn.cernerdirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.