Active NPI
Leah Grace Bigelow, PA
- Physician Assistant
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-12006
- Practice address
- 4500 Bartlett Dr
Raleigh, NC 27609-5531 - Phone
- (919) 559-4661
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 0010-12006 | NC | Primary |
Addresses
Primary practice location
4500 Bartlett Dr
Raleigh, NC 27609-5531
Mailing address
4500 Bartlett Dr
Raleigh, NC 27609-5531
Phone (919) 559-4661
Other practice location 1
800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000
Other practice location 2
501 S Poplar St
Elizabethtown, NC 28337-9375
Phone (910) 862-5100
Other practice location 3
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-12006 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cfvhs Ed Physicians | Emergency Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800
501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007
Interoperability endpoints
- ljohnson121564@capefearvalley.direct-ci.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Emergency Medicine Physician
- Fayetteville, NC
- NPI 1215931589
-
- Emergency Medicine Physician
- Raeford, NC
- NPI 1790183184
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1831781582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 BARTLETT DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095531",
"telephone_number": "919-559-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 BARTLETT DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095531",
"telephone_number": "919-559-4661"
}
],
"practiceLocations": [
{
"address_1": "800 Tilghman Dr",
"address_purpose": "LOCATION",
"city": "Dunn",
"state": "NC",
"postal_code": "283345510",
"country_code": "US",
"telephone_number": "910-892-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 S Poplar St",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NC",
"postal_code": "283379375",
"country_code": "US",
"telephone_number": "910-862-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIGELOW",
"first_name": "LEAH",
"middle_name": "GRACE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-12006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.