Individual provider Active NPI

Lesley Brooke Eaves, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1700390283
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07633 Issued in NC
Practice address
107 W Hargett St
Raleigh, NC 27601-1700
Phone
(984) 255-2107
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07633 NC Primary

Addresses

Primary practice location

107 W Hargett St
Raleigh, NC 27601-1700

Mailing address

3909 Browning PL
Raleigh, NC 27609-6504
Phone (618) 697-8808

Other practice location 1

6832 Market St Ste A
Wilmington, NC 28405
Phone (910) 859-2273

Other practice location 2

1703 Country Club Rd Ste 103
Jacksonville, NC 28546-6006
Phone (910) 333-0283

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180409000528 NC Practitioner - Physician Assistant 5991068777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1236 Huffman Mill Rd
Suite 2850
Burlington, NC 27215-8700
Phone (336) 538-7482

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Suite 104
Burlington, NC 27215-8700
Phone (336) 278-9011

3940 Arrowhead Blvd
Suite 110
Mebane, NC 27302-7637
Phone (919) 568-7300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Regional Medical Center, Inc CurrentSince Aug 16, 2021 Accepting new patients
Carolina Care - Urgent Care and Sports Medicine PastSince Jan 1, 2014 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1700390283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 BROWNING PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096504",
            "telephone_number": "618-697-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W HARGETT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011700",
            "telephone_number": "984-255-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6832 Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28405",
            "country_code": "US",
            "telephone_number": "910-859-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Country Club Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466006",
            "country_code": "US",
            "telephone_number": "910-333-0283",
            "fax_number": "910-333-0513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAVES",
        "first_name": "LESLEY",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.