Individual provider Active NPI

Douglas Lawrence Lamb, PA-C

  • Physician Assistant
  • Beaufort, NC
National Provider Identifier
1912097288
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103678 Issued in NC
Practice address
1620 Live Oak St
Beaufort, NC 28516-1581
Phone
(252) 728-5737
Fax
(252) 728-5739
NPI assigned
Oct 14, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103678 NC Primary

Addresses

Primary practice location

1620 Live Oak St
Beaufort, NC 28516-1581

Mailing address

397 Masontown Rd
Newport, NC 28570-7030
Phone (252) 728-5737

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000161 NC Practitioner - Physician Assistant 6901954676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Water Medical, PAGroup PAC ID 2961314315, 6 clinicians

Practice addresses (Care Compare)

1620 C Live Oak St
Beaufort, NC 28516-1583

1620 Live Oak St
Beaufort, NC 28516-1583
Phone (252) 728-5737

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103678NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Open Water Medical, PA CurrentSince Nov 23, 2022 Accepting new patients
Duplin Medical Association Inc PastSince Feb 24, 2014 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients
Golden Grove Emergency Physicians Past Accepting new patients

Locations

1620 Live Oak St
Ste C
Beaufort, NC 28516
Phone (252) 728-5737

1620C Live Oak St
Beaufort, NC 28516
Phone (252) 728-5737

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1912097288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 MASONTOWN RD",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285707030",
            "telephone_number": "252-728-5737",
            "fax_number": "252-728-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LIVE OAK ST",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161581",
            "telephone_number": "252-728-5737",
            "fax_number": "252-728-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "DOUGLAS",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

Sources for this page

Verify at the official NPI Registry.