Active NPI
Lea Ann Cenname
- Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 722 Mohican TRL
Wilmington, NC 28409-3429 - Phone
- (910) 520-3970
- NPI assigned
- Dec 13, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
722 Mohican TRL
Wilmington, NC 28409-3429
Mailing address
806 Hay St
Fayetteville, NC 28305-5312
Phone (910) 860-7008
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210203002444 | NC | Practitioner - Physician Assistant | 5193139004 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Haymount Institute for Psychological Services PLLC
Practice addresses (Care Compare)
131 W Edinborough Ave
Raeford, NC 28376-2861
Phone (910) 860-7008
41 Edgewood Ave NE
Concord, NC 28025-3351
Phone (910) 860-7008
806 Hay St
Fayetteville, NC 28305-5312
Phone (910) 860-7008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haymount Institute for Psychological Services, PLLC | Physician Assistant | Current | Accepting new patients |
| Haymount Institute for Psychological Services, PLLC | Current | Accepting new patients |
Locations
806 Hay St
Fayetteville, NC 28305
Phone 9108607008117
996 Helen St
Fayetteville, NC 28303
Phone (910) 635-0115
3507 Hill St
Hope Mills, NC 28348
Phone (910) 339-0901
131 W Edinborough Ave
Raeford, NC 28376
Phone (910) 848-1222
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Fayetteville, NC
- NPI 1437320892
NC
-
- Clinical Psychologist
- Fayetteville, NC
- NPI 1114490984
-
- Clinical Psychologist
- Concord, NC
- NPI 1316825656
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1730727348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 HAY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055312",
"telephone_number": "910-860-7008",
"fax_number": "910-824-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 MOHICAN TRL",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093429",
"telephone_number": "910-520-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENNAME",
"first_name": "LEA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.