Individual provider Active NPI

Lubica Fedor, M.D.

  • Psychiatry Physician
  • Rocky Mount, NC
National Provider Identifier
1780635300
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34309 Issued in NC
Practice address
112 N Circle Dr
Rocky Mount, NC 27804-2430
Phone
(252) 443-5451
Fax
(252) 442-4312
NPI assigned
May 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34309 NC Primary

Addresses

Primary practice location

112 N Circle Dr
Rocky Mount, NC 27804-2430

Mailing address

1277 Drivers Cir
Rocky Mount, NC 27804-9615
Phone (252) 443-5451

Other identifiers 1

IdentifierTypeStateIssuer
89131J4MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000159 NC Practitioner - Psychiatry 6507045895 Reassigns benefits to 2 organizations
Practice locations: Rocky Mount, NC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34309NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Apr 5, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Apr 24, 2025 Accepting new patients

Locations

322 Lamar Ave
#220
Charlotte, NC 28204

322 Lamar Ave
Ste 220
Charlotte, NC 28204
Phone (704) 914-5910

330 Billingsley Rd
Ste 204
Charlotte, NC 28211
Phone (704) 365-9871

3541 Randolph Rd
Ste 102W
Charlotte, NC 28211
Phone (704) 582-9799

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780635300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 DRIVERS CIR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049615",
            "telephone_number": "252-443-5451",
            "fax_number": "252-442-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CIRCLE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042430",
            "telephone_number": "252-443-5451",
            "fax_number": "252-442-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOR",
        "first_name": "LUBICA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "34309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131J4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.