Organization Active NPI

Lenoir Physicians Network, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Kinston, NC
National Provider Identifier
1841540887
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
LENOIR PHYSICIANS NETWORK, LLC
Doing business as
Lenoir Orthopedics & Sports Medicine
Practice address
701 Doctors Dr
Suite G
Kinston, NC 28501-1589
Phone
(252) 522-4446
Fax
(252) 522-4484
NPI assigned
Sep 18, 2012
Organization subpart
Yes
Parent organization
LENOIR PHYSICIANS NETWORK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Gary E. Black
Title
President/Ceo
Phone
(252) 522-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

701 Doctors Dr
Suite G
Kinston, NC 28501-1589

Mailing address

701 Doctors Dr
Suite G
Kinston, NC 28501-1589

Other identifiers 1

IdentifierTypeStateIssuer
1841540887MedicaidNC

Other names 1

  • Lenoir Orthopedics & Sports Medicine Doing business as

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
34D2312474Unc Orthopedics and Sports Medicine at Lenoir701 Doctors Drive, Ste G, Kinston, NC 28501Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory
Part of
Lenoir Physicians Network LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1841540887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE G",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR",
            "address_2": "SUITE G",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011589",
            "telephone_number": "252-522-4446",
            "fax_number": "252-522-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOIR PHYSICIANS NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LENOIR PHYSICIANS NETWORK, LLC",
        "enumeration_date": "2012-09-18",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "252-522-7000"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841540887",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenoir Orthopedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.