Active NPI
Lindsey Elliott De Guehery, MD
- Internal Medicine Physician
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28018
- Practice address
- 41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818 - Phone
- (252) 291-5864
- Fax
- (800) 290-5015
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 28018 | NC | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 28018 | NC | |
| Internal Medicine Physician | 207R00000X | 28018 | NC | Primary |
Addresses
Primary practice location
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Mailing address
1405 Kenan St NW
Wilson, NC 27893-2345
Phone (252) 315-7954
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28279 | Other | NC | BCBS OF NC NUMBER |
| 4851761 | Other | NC | UNITED HEALTHCARE |
| 8928279 | Medicaid | NC | |
| CL2570 | Other | NC | MEDICARE RAILROAD NUMBER |
| 10156220 | Other | NC | VOCATIONAL REHAB NUMBER |
| 22907 | Other | NC | MEDCOST NUMBER |
| 7224358 | Other | NC | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 On Physicians, P.C. | Single Specialty | Current | Accepting new patients |
| County of Wilson | Current | Accepting new patients | |
| 24 On Physicians, P.C. | Single Specialty | Current | Accepting new patients |
| Theoria Medical | Single Specialty | Current | Accepting new patients |
| Theoria Medical | Internal Medicine | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
2401 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 736-2121
3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
1801 Glendale Dr SW
Wilson, NC 27893
Phone (252) 237-3141
Organizations & group practices 5
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.
-
- Community Health Clinic/Center
- Wilson, NC
- NPI 1467507640
-
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1720033574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 KENAN ST NW",
"city": "WILSON",
"state": "NC",
"postal_code": "278932345",
"telephone_number": "252-315-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41800 W 11 MILE RD STE 109",
"city": "NOVI",
"state": "MI",
"postal_code": "483751818",
"telephone_number": "252-291-5864",
"fax_number": "800-290-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GUEHERY",
"first_name": "LINDSEY",
"middle_name": "ELLIOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2024-10-15",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "28018",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NC",
"license": "28018",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "28018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC NUMBER",
"identifier": "28279",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4851761",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8928279",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD NUMBER",
"identifier": "CL2570",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VOCATIONAL REHAB NUMBER",
"identifier": "10156220",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST NUMBER",
"identifier": "22907",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7224358",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.