Jadene Lowry, M.D.
Individual provider Active NPI Family Medicine Physician · Laurinburg, NC
NPI 1972701043 · NPPES record last updated Feb 20, 2015
Key facts
- NPI
- 1972701043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2010-01860 (NC)
- Practice address
- 500 Lauchwood Dr
Laurinburg, NC 28352-5501 - Phone
- (910) 291-6904
- Fax
- (910) 291-6907
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110211000784 | SC | Practitioner - Family Practice | 9436339181 | Reassigns benefits to 1 organization |
| I20110518000829 | NC | Practitioner - Family Practice | 9436339181 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010-01860 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Scotland Regional Health Network | Current | Accepting new patients | |
| Scotland Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Scotland Memorial Hospital Inc | Family Medicine | Current | Accepting new patients |
| Scotland Regional Health Network | Current |
Accepting new patients | |
| Scotland Regional Health Network | Current |
Accepting new patients | |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients |
Locations
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
957 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0245
1007 Cheraw St
Bennettsville, SC 29512
Phone (843) 479-8357
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33111 | SC | |
| Family Medicine Physician | 207Q00000X | 2010-01860 | NC | Yes |
Addresses
Primary practice location
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Mailing address
PO Box 602458
Charlotte, NC 28260-2458
Phone (910) 291-6904
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC1360 | Medicaid | SC | |
| 1972701043 | Medicaid | NC | |
| 5917691 | Medicaid | NC |
Other providers in Laurinburg, NC
- Tanyel Locklear
- Leslie Geneva Lovette
- Loving Touch Companion Care, LLC
- Shelly Strickland Lowery
- Craig Elliott Lowry I
- Molly Lutz
- Luxurious Doula Services
- Laura B Lynch
- Lyons Royalty LLC
- Da'Shereena Chyenne Lyons
All providers in Laurinburg, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.