Active NPI
Michele Collingsworth
- Family Medicine Physician
- Lillington, NC
National Provider Identifier
1710682091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151016322
- Practice address
- 129 T.T. Lanier Street
Lillington, NC 27546 - Phone
- (910) 893-7515
- NPI assigned
- Apr 4, 2023
- Last updated
- Sep 8, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5151016322 | MI | Primary |
Addresses
Primary practice location
129 T.T. Lanier Street
Lillington, NC 27546
Mailing address
129 T.T. Lanier Street
Lillington, NC 27546
Phone (910) 893-7515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20230530002452 | MI | Order and Referring Only - Family Practice | 4082071485 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151016322 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1710682091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 T.T. LANIER STREET",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "27546",
"telephone_number": "910-893-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 T.T. LANIER STREET",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "27546",
"telephone_number": "910-893-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINGSWORTH",
"first_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2026-09-08",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151016322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
- Treston Grant Clark-Larue, PA-C
- Kyle Coffey, DO
- Abby M Coggins, RD, LDN
- Valerie Ann Colborn, O.D.
- Hayley Coleman, LCMHCA
- Kathryn Collins
- Community Education and Programs
- Community Home Care of Robeson County, LLC (Community Home Care and Hospice)
- Continuum Care Corporation
- Continuum Care Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.