Organization Active NPI

Littleton Family Practice

  • Family Medicine Physician
  • Littleton, NC
National Provider Identifier
1831150366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LITTLETON FAMILY PRACTICE
Practice address
143 Elams Rd
Littleton, NC 27850-8479
Phone
(252) 586-4923
Fax
(252) 586-9809
NPI assigned
Apr 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lauralee Wilson, MD
Title
Office Manager
Phone
(252) 586-4923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

143 Elams Rd
Littleton, NC 27850-8479

Mailing address

143 Elams Rd
Littleton, NC 27850-8479
Phone (252) 586-4923

Other identifiers 1

IdentifierTypeStateIssuer
017EPOtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

143 Elams Rd
Littleton, NC 27850
Phone (252) 586-4923

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831150366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 ELAMS RD",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278508479",
            "telephone_number": "252-586-4923",
            "fax_number": "252-586-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 ELAMS RD",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278508479",
            "telephone_number": "252-586-4923",
            "fax_number": "252-586-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLETON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAURALEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-586-4923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "017EP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.