Active NPI
Lauren Anne Lubejko, PA
- Physician Assistant
- Cherryville, NC
National Provider Identifier
1942993993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-16755
- Practice address
- 910 E Church St Ste a
Cherryville, NC 28021-2968 - Phone
- (704) 445-0422
- Fax
- (704) 671-7463
- NPI assigned
- May 26, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-16755 | NC | Primary |
Addresses
Primary practice location
910 E Church St Ste a
Cherryville, NC 28021-2968
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123002552 | OR | Order and Referring Only - Physician Assistant | 6204288400 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benton County | Past | Accepting new patients |
Interoperability endpoints
- llubejko649773@direct.ochin.org
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Corvallis, OR
- NPI 1275752420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1942993993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744786",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E CHURCH ST STE A",
"city": "CHERRYVILLE",
"state": "NC",
"postal_code": "280212968",
"telephone_number": "704-445-0422",
"fax_number": "704-671-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBEJKO",
"first_name": "LAUREN",
"middle_name": "ANNE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-16755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherryville, NC
- Kerr Drug Inc
- Halie J Leatherman, DNP, FNP-C
- Legacy Healthcare Services
- Robin Melissa Lingerfeldt-Mower, PTA
- Katelin Fox Lowe, PT, DPT
- Mainstreet and Kidsstreet of North Carolina PLLC
- Mainstreet and Kidsstreet of North Carolina PLLC
- Medical Center Pharmacy of Cherryville Inc
- Jessica Millwood, OTR/L
- Harsha Mirchandani, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.