Individual provider Active NPI

Jennifer Laughlin, PA-C

  • Physician Assistant
  • Knightdale, NC
National Provider Identifier
1962584953
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02346 Issued in NC
Practice address
162 Legacy Oaks Dr
Knightdale, NC 27545-6556
Phone
(919) 373-1800
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1268 NE
Physician Assistant 363A00000X 0010-02346 NC Primary

Addresses

Primary practice location

162 Legacy Oaks Dr
Knightdale, NC 27545-6556

Mailing address

104 White Sands Dr
Cary, NC 27513-4718
Phone (919) 633-7479

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
I20100924000153 NC Practitioner - Physician Assistant 6608878947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

100 Duke Health Cary PL
Suite 110
Cary, NC 27519-6760
Phone (919) 385-4855

10211 Alm St
Raleigh, NC 27617-8221

1901 Hillandale Rd
Durham, NC 27705-2664

401 Irving Pkwy
Holly Springs, NC 27540-5301

5716 Fayetteville Rd
Durham, NC 27713-9661
Phone (919) 572-1868

7021 Harps Mill Rd
Raleigh, NC 27615-3240
Phone (919) 576-8480

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1268NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Feb 8, 2016 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Feb 8, 2016 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

1821 Hillandale Rd
Ste 25A
Durham, NC 27705
Phone (919) 620-7300

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

1821 Hillandale Rd
Ste 25B
Durham, NC 27705
Phone (919) 613-9105

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

162 Legacy Oaks Dr
Knightdale, NC 27545
Phone (919) 373-1800

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: jconnell259397@direct.medicine.duke.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1962584953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WHITE SANDS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134718",
            "telephone_number": "919-633-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 LEGACY OAKS DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456556",
            "telephone_number": "919-373-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1268",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.