Gaddy Lassiter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

009900580 Issued in NC

Practice address

103 E Main St
Harrellsville, NC 27942-9201

Phone

(252) 356-6544

Fax

(252) 356-9907

NPI assigned

Dec 19, 2005

Last updated

Jul 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Medicine of Harrellsville

  • Family Medicine Physician
  • Harrellsville, NC
  • NPI 1124003934
  NPD (past) Authorized official
• Apogee Medical Group Virginia, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1861660540
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1700862083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "HARRELLSVILLE",
            "state": "NC",
            "postal_code": "279429201",
            "telephone_number": "252-356-6544",
            "fax_number": "252-356-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "HARRELLSVILLE",
            "state": "NC",
            "postal_code": "279429201",
            "telephone_number": "252-356-6544",
            "fax_number": "252-356-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "GADDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "009900580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS IND. #",
            "identifier": "1216W",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891216W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cypress Landing Family Care Home
• Family Medicine of Harrellsville
• Cheryl Askew Grace, MA CCC SLP

• Family Medicine Physician in Harrellsville, NC
• Providers in Harrellsville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.