Active NPI
Lenoir Physicians Network, LLC
- Sports Medicine (Orthopaedic Surgery) Physician
- Kinston, NC
National Provider Identifier
1841540887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841540887 | Medicaid | NC |
Other names 1
- Lenoir Orthopedics & Sports Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2312474 | Unc Orthopedics and Sports Medicine at Lenoir | Certificate of waiver | Oct 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.
-
- General Practice Physician
- Kinston, NC
- NPI 1437407699
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.