Individual provider Active NPI

Lisa Gholston Cox, M.D.

  • Internal Medicine Physician
  • Lumberton, NC
National Provider Identifier
1780681015
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000036628 Issued in NC
Practice address
395 W 27TH St
Lumberton, NC 28358-3018
Phone
(910) 739-7551
Fax
(910) 739-2332
NPI assigned
Jul 1, 2005
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000036628 NC Primary

Addresses

Primary practice location

395 W 27TH St
Lumberton, NC 28358-3018

Mailing address

2002 N Cedar St Ste B
Lumberton, NC 28358-3926
Phone (910) 272-3048

Other identifiers 1

IdentifierTypeStateIssuer
8935191MedicaidNC

Other names 1

  • Lisa Regina Gholston Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000865 NC Practitioner - Internal Medicine 5193715829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

395 W 27TH St
Lumberton, NC 28358-3018
Phone (910) 739-7551

730 Oakridge Blvd
Lumberton, NC 28358-2324
Phone (910) 738-2662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
81.28
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000036628NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Mar 22, 2017 Accepting new patients
Southeastern Regional Physician Services CurrentSince Mar 22, 2017 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients

Locations

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

500 W 27th St
Lumberton, NC 28358
Phone (910) 618-0441

730 Oakridge Blvd
Lumberton, NC 28358
Phone (910) 738-2662

800 Martin Luther King Jr Dr
Lumberton, NC 28358
Phone (910) 370-0815

217 W Broad St
Saint Pauls, NC 28384
Phone (910) 241-3078

Interoperability endpoints

  • Direct secure messaging: lcox846183@direct.unc.nchie.net

Organizations & group practices 4

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 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1780681015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CEDAR ST STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583926",
            "telephone_number": "910-272-3048",
            "fax_number": "910-738-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583018",
            "telephone_number": "910-739-7551",
            "fax_number": "910-739-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "LISA",
        "middle_name": "GHOLSTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "000036628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8935191",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GHOLSTON",
            "middle_name": "REGINA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.