Active NPI
Laura June Eaglen, PA-C
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1790047637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03584
- Practice address
- 2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673 - Phone
- (919) 791-2040
- NPI assigned
- Jun 15, 2012
- Last updated
- Sep 28, 2023
- 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 | 0010-03584 | NC | Primary |
Addresses
Primary practice location
2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Mailing address
280 N Pointe Blvd
Mount Airy, NC 27030-2267
Phone (336) 783-0399
Other practice location 1
280 N Pointe Blvd
Mount Airy, NC 27030-2267
Phone (336) 783-0399
Other names 1
- Miss Laura June Hedlund
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lhedlund266851@direct.UNC.nchie.net | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Partners | Current | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
280 N Pointe Blvd
Mount Airy, NC 27030
Phone (336) 786-4133
Interoperability endpoints
- laura-hedlund@prohealthcenter.e-mdsdirect.com
- lhedlund266851@direct.unc.nchie.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UNC Health North Carolina Heart and Vascular
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
- Rehabilitation Clinic/Center
- Mount Airy, NC
- NPI 1497707368
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
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": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1790047637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 N POINTE BLVD",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302267",
"telephone_number": "336-783-0399",
"fax_number": "336-786-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 ATRIUM DR STE 150",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076673",
"telephone_number": "919-791-2040"
}
],
"practiceLocations": [
{
"address_1": "280 N Pointe Blvd",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "NC",
"postal_code": "270302267",
"country_code": "US",
"telephone_number": "336-783-0399",
"fax_number": "336-786-4338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAGLEN",
"first_name": "LAURA",
"middle_name": "JUNE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03584",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lhedlund266851@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2417 Atrium Dr Ste 150",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076673",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAURA",
"last_name": "HEDLUND",
"middle_name": "JUNE",
"prefix": "MISS",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.