Larry Blaine Mahood II, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03901 Issued in NC

Practice address

100 S 10TH St
Lillington, NC 27546-6690

Phone

(910) 893-4111

Fax

(910) 893-9850

NPI assigned

Nov 5, 2012

Last updated

Nov 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: larry.mahood.1@1905.direct.athenahealth.com

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.

• Med First Immediate Care & Family Practice, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1053503763
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1700130333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 10TH ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466690",
            "telephone_number": "910-893-4111",
            "fax_number": "910-893-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 10TH ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275466690",
            "telephone_number": "910-893-4111",
            "fax_number": "910-893-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOOD",
        "first_name": "LARRY",
        "middle_name": "BLAINE",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillington Physical Therapy
• LJ Medicana Transportation LLC
• Ashley Nichole Long, FNP
• Kimberly Joanne Lusk, AGNP-C
• Mahogany Place PLLC
• Jennifer Lynn Mahovlich, OTRL
• Briana Major
• Makin' Choices, Inc.
• Malaika Transportation LLC
• Daniel Patrick Marlowe, PHD

• Physician Assistant in Lillington, NC
• Providers in Lillington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.

Verify at the official NPI Registry.