Active NPI
Molly Devin Lane
- Physician Assistant
- Goldsboro, NC
National Provider Identifier
1881154490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494 - Phone
- (919) 736-1110
- NPI assigned
- Mar 20, 2019
- 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 | Primary |
Addresses
Primary practice location
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Mailing address
1409 Roden Blvd
Sheppard Afb, TX 76311-1378
Phone (813) 545-5676
Other names 1
- Molly Devin Short
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Florida College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Doctors Dr
Kinston, NC 28501-1584
Phone (252) 523-0687
701 Doctors Dr K
Kinston, NC 28501-1584
Hospital & facility affiliations
- Unc Lenoir Health Care
- Unc Health Care Wayne
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.58 of 100
- Quality
- 75.66
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- mlane772275@direct.unc.nchie.net
- mollylane@khnp.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Kinston, NC
- NPI 1801966395
-
- Emergency Medicine Physician
- Goldsboro, NC
- NPI 1164418232
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kinston, NC
- NPI 1962446385
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1881154490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 RODEN BLVD",
"city": "SHEPPARD AFB",
"state": "TX",
"postal_code": "763111378",
"telephone_number": "813-545-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349494",
"telephone_number": "919-736-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "MOLLY",
"middle_name": "DEVIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "SHORT",
"middle_name": "DEVIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.