Organization Active NPI

Lexington Internal Medicine Clinic, PA

  • Internal Medicine Physician
  • Lexington, NC
National Provider Identifier
1881776771
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22543 Issued in NC
Legal business name
LEXINGTON INTERNAL MEDICINE CLINIC, PA
Practice address
901 E Center St
Lexington, NC 27292-4403
Phone
(336) 249-7051
Fax
(336) 248-2294
NPI assigned
Oct 19, 2006
Last updated
Oct 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mrs. Cindy F Fletcher
Title
Office Manager Cfo
Phone
(336) 249-7051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22543 NC Primary

Addresses

Primary practice location

901 E Center St
Lexington, NC 27292-4403

Mailing address

PO Box 1946
Lexington, NC 27293
Phone (336) 249-7051

Other identifiers 2

IdentifierTypeStateIssuer
02012OtherNCBCBS
8902012MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000745 NC Part B Supplier - Clinic/Group Practice 3678546561 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, NC

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
34D0238454Lexington Internal Medicine Clinic PA901 E Center Street, Lexington, NC 27292Provider-performed microscopyJun 20, 2028

National Provider Directory

National Provider Directory

Locations

901 E Center St
Lexington, NC 27292
Phone (336) 249-7051

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1881776771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1946",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27293",
            "telephone_number": "336-249-7051",
            "fax_number": "336-248-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E CENTER ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924403",
            "telephone_number": "336-249-7051",
            "fax_number": "336-248-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON INTERNAL MEDICINE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER CFO",
        "authorized_official_telephone_number": "336-249-7051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "22543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02012",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.