Individual provider Active NPI

Nicole Grey Lovill

  • Family Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1720864408
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LOVI-44REL Issued in NC
Practice address
113 Scenic Outlet LN Ste 2
Mount Airy, NC 27030-9978
Phone
(336) 352-4900
NPI assigned
Sep 7, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LOVI-44REL NC Primary

Addresses

Primary practice location

113 Scenic Outlet LN Ste 2
Mount Airy, NC 27030-9978

Mailing address

113 Scenic Outlet LN Ste 2
Mount Airy, NC 27030-9978

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
I20240321000729 NC Practitioner - Nurse Practitioner 2860839271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Challie Minton, MD PCGroup PAC ID 5597180802, 9 clinicians

Practice addresses (Care Compare)

113 Scenic Outlet LN
Suite 2
Mount Airy, NC 27030-9978
Phone (336) 352-4900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LOVI-44RELNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Challie Minton MD CurrentSince Jan 9, 2024 Accepting new patients

Locations

113 Scenic Outlet Ln
Ste 2
Mount Airy, NC 27030
Phone (336) 352-4900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16817/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1720864408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 2",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 2",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978",
            "telephone_number": "336-352-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVILL",
        "first_name": "NICOLE",
        "middle_name": "GREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "LOVI-44REL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.