Individual provider Active NPI

Laura N Reniker, MD

  • Neonatal-Perinatal Medicine Physician
  • Tarboro, NC
National Provider Identifier
1710910385
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
47640 Issued in OK
Practice address
111 Hospital Dr
Tarboro, NC 27886-2011
Phone
(252) 641-7700
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 47640 OK Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 0101057949 VA
Neonatal-Perinatal Medicine Physician 2080N0001X 200300803 NC

Addresses

Primary practice location

111 Hospital Dr
Tarboro, NC 27886-2011

Mailing address

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4390

Other practice location 1

6151 S Yale Ave # Levelb
Tulsa, OK 74136-1907
Phone (918) 502-6097

Other practice location 2

3000 New Bern Ave
Raleigh, NC 27610-1215
Phone (111) 111-1111

Other identifiers 3

IdentifierTypeStateIssuer
135MYOtherNCNCBCBS
89135MYMedicaidNC
N0080EMedicaidSC

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
I20070419000672 NC Practitioner - Pediatric Medicine 2668577669 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47640OKMDNeonatal-Perinatal Medicine Physician
0101057949VAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Feb 17, 2026 Accepting new patients
DLP Western Carolina Physician Practices LLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Sep 1, 2025 Accepting new patients
NHCS Physicians Inc Neonatal-Perinatal Medicine CurrentSince Sep 14, 2020 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Sep 14, 2020 Accepting new patients
Mooresville Hma Physician Management, Inc. Family Medicine Past Accepting new patients
Warren Clinic Inc Past Accepting new patients

Locations

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

98 Doctors Dr
Ste 300
Sylva, NC 28779
Phone (828) 586-9641

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

Interoperability endpoints

  • Direct secure messaging: lreniker641127@direct.unc.nchie.net

Organizations & group practices 7

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1710910385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 FAIRVIEW RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179500",
            "telephone_number": "704-660-4390",
            "fax_number": "704-660-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "252-641-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6151 S Yale Ave # Levelb",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361907",
            "country_code": "US",
            "telephone_number": "918-502-6097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101215",
            "country_code": "US",
            "telephone_number": "111-111-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENIKER",
        "first_name": "LAURA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OK",
            "license": "47640",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "0101057949",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "200300803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "135MY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135MY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0080E",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.