Layla Myers Mabe, ANP
Individual provider Active NPI Nurse Practitioner · Pinehurst, NC
NPI 1790774628 · NPPES record last updated Feb 25, 2014
Key facts
- NPI
- 1790774628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 900378 (NC)
- Practice address
- 15 Regional Dr
Pinehurst, NC 28374-8850 - Phone
- (910) 255-4400
- Fax
- (910) 235-3447
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiatry Consultants of NC PLLC
Practice addresses (Care Compare)
2702 Farrell Rd
Sanford, NC 27330-6505
Phone (919) 776-9602
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041008000933 | NC | Practitioner - Nurse Practitioner | 2567421019 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Nurse Practitioner | Current |
Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current |
Accepting new patients |
| Physiatry Consultants of NC PLLC | Current |
Accepting new patients | |
| Lifesource of North Carolina | Nurse Practitioner | Current |
Accepting new patients |
| Theoria Medical | Nurse Practitioner | Past | Accepting new patients |
| Hamlet Hma Physician Management, LLC | Adult Health | Past | Accepting new patients |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients | |
| Hamlet Hma Inc | Past | Accepting new patients | |
| Hamlet Hma Inc | Past | Accepting new patients | |
| Hamlet Hma PPM LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
1 Pond St
Arden, NC 28704
Phone 82877452220027
1601 Purdue Dr
Fayetteville, NC 28304
Phone (910) 486-5000
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
205 Rattlesnake Trl
Pinehurst, NC 28374
Phone (910) 295-1781
300 Blake Blvd
Pinehurst, NC 28374
Phone (910) 215-5710
2702 Farrell Rd
Sanford, NC 27330
Phone (919) 608-9123
3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 900378 | NC | Yes |
| Adult Health Nurse Practitioner | 363LA2200X | 900378 | NC |
Addresses
Primary practice location
15 Regional Dr
Pinehurst, NC 28374-8850
Mailing address
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004470 | Medicaid | NC | |
| P00439348 | Other | NC | RR MEDICARE |
| P01173872 | Other | NC | R/R MEDICARE EFFECTIVE 2/25/2013 |
| 89014R7 | Other | NC | CAROLINA ACCESS |
| NP0937 | Medicaid | SC | |
| NCB705A | Other | NC | PALMETTO GBA MEDICARE EFFECTIVE 2/25/2013 |
Other providers in Pinehurst, NC
- Evette Lynch
- Nicholas J Lynn
- Robin Blaes Lynn
- Casey Vaughn Mabe
- Julia Lynne Mabe
- Emily Elizabeth Macadam
- Ida Macaluso
- Alexis Macdonald
- Alexia Machado
- Rudi Marshae Mack
All providers in Pinehurst, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.