Active NPI
Loren Ray Flageolle, DO
- Family Medicine Physician
- Lillington, NC
National Provider Identifier
1851075550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2026-02363
- Practice address
- 215 Brightwater Dr
Lillington, NC 27546-5156 - Phone
- (910) 892-1000
- NPI assigned
- Jun 13, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2026-02363 | NC | Primary |
Addresses
Primary practice location
215 Brightwater Dr
Lillington, NC 27546-5156
Mailing address
215 Brightwater Dr
Lillington, NC 27546-5156
Other practice location 1
800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-7161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Campbell Univ School of Osteopathic Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 40908
Fayetteville, NC 28309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1851075550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BRIGHTWATER DR",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275465156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BRIGHTWATER DR",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275465156",
"telephone_number": "910-892-1000"
}
],
"practiceLocations": [
{
"address_1": "800 Tilghman Dr",
"address_purpose": "LOCATION",
"city": "Dunn",
"state": "NC",
"postal_code": "283345510",
"country_code": "US",
"telephone_number": "910-892-7161",
"fax_number": "910-694-1314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAGEOLLE",
"first_name": "LOREN",
"middle_name": "RAY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-13",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2026-02363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
- Amy Marie Farmer, COTA
- David Feist, D.O.
- FHPG, LLC
- First Choice Community Health Centers
- First Choice Community Health Centers
- Jordan Shae Forbess, LCSW-A LCAS-A
- Kara Elizabeth Foster, OD
- Amanda Adele Freeman, PA
- Fresenius Medical Care of Lillington, LLC (FMS Dialysis Services of Lillington)
- Aloysius Marvin Gainey, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.
- 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.