Lisa Ann Bledsoe, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2023-00218 Issued in NC

Practice address

2839 Wendell Blvd.
Suite 100
Wendell, NC 27591

Phone

(919) 365-7272

Fax

(919) 822-0035

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Family Practice

Education

Indiana University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Generations Family Practice PA 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.bledsoe@kpcnc.eclinicaldirectplus.com

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.

• Generations Family Practice, PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1407902059

  Family Medicine, NC

  Medicare reassignment Care Compare group NPD
• Generations Family Practice, PA

  • Internal Medicine Physician
  • Asheboro, NC
  • NPI 1043894504
  NPD
• Generations Family Practice, PA

  • Family Medicine Physician
  • Wendell, NC
  • NPI 1588256754

  Family Medicine

  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Riverview Hospital

  • General Acute Care Hospital
  • Noblesville, IN
  • NPI 1700883717
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740267178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 DARRINGTON DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138158",
            "telephone_number": "198-523-9999",
            "fax_number": "919-378-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 WENDELL BLVD.",
            "address_2": "SUITE 100",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "27591",
            "telephone_number": "919-365-7272",
            "fax_number": "919-822-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 English Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278046027",
            "country_code": "US",
            "telephone_number": "252-443-3133",
            "fax_number": "252-443-6726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Nc Highway 97",
            "address_purpose": "LOCATION",
            "city": "Wendell",
            "state": "NC",
            "postal_code": "275919319",
            "country_code": "US",
            "telephone_number": "919-365-7272",
            "fax_number": "919-822-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-00218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740267178",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.bledsoe@wendellfamily.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 Nc Highway 97",
            "city": "Wendell",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275919319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Best Rehab, LLC
• Madison Bell Best, PT
• Shivani Bhatt, FNP-C
• Biotech Screening & Courier
• Adam Roman Bizan, D.C
• Stefanie Prokopiou Boisvert, RD, LD, MPH
• Suzan Lynne Booker
• Saadia Bookhardt-Smith
• Adam Hall Brandt, LCMHC
• Bridge Builders Wellness

• All providers in Wendell, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.
• 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.

Verify at the official NPI Registry.