Organization Active NPI

Primary Medical Care at the Crossroads, PLLC

  • Family Nurse Practitioner
  • Benson, NC
National Provider Identifier
1801428487
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRIMARY MEDICAL CARE AT THE CROSSROADS, PLLC
Practice address
58 Old Roberts Rd Ste 102
Benson, NC 27504-8047
Phone
(919) 889-6601
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Laura Lanier, FNPNPI 1609239672
Title
Owner/Ceo
Phone
(919) 889-6601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

58 Old Roberts Rd Ste 102
Benson, NC 27504-8047

Mailing address

58 Old Roberts Rd Ste 102
Benson, NC 27504-8047
Phone (919) 889-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615001608 NC Part B Supplier - Clinic/Group Practice 3476975780 Receives reassigned benefits from 2 practitioners
Practice locations: Benson, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2179091Primary Medical Care at the58 Old Roberts Rd, Suite 102, Benson, NC 27504Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

58 Old Roberts Rd
Benson, NC 27504
Phone (919) 934-2600

58 Old Roberts Rd
Ste 102
Benson, NC 27504
Phone (919) 889-6601

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21598/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1801428487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLD ROBERTS RD STE 102",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275048047",
            "telephone_number": "919-889-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD ROBERTS RD STE 102",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275048047",
            "telephone_number": "919-889-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL CARE AT THE CROSSROADS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "919-889-6601",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.