Active NPI
Laura A Medlin, PA
- Physician Assistant
- Rocky Mount, NC
National Provider Identifier
1881630044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102545
- Practice address
- 110 Patrick CT
Rocky Mount, NC 27804-1743 - Phone
- (252) 443-0400
- Fax
- (252) 443-0572
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102545 | NC | Primary |
Addresses
Primary practice location
110 Patrick CT
Rocky Mount, NC 27804-1743
Mailing address
110 Patrick CT
Rocky Mount, NC 27804-1743
Phone (252) 443-0400
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 62.03
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHCS Physicians Inc | Current | Accepting new patients | |
| Carolina Express Care | Past | Accepting new patients | |
| Arizona Pulmonary Specialists LTD | Past | Accepting new patients |
Locations
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Rocky Mount, NC
- NPI 1801252275
-
- Medical Physician Assistant
- Knightdale, NC
- NPI 1891739678
-
- Pulmonary Disease Physician
- Scottsdale, AZ
- NPI 1215986468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1881630044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PATRICK CT",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041743",
"telephone_number": "252-443-0400",
"fax_number": "252-443-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PATRICK CT",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278041743",
"telephone_number": "252-443-0400",
"fax_number": "252-443-0572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDLIN",
"first_name": "LAURA",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.