Individual provider Active NPI

Lois M. Pittman

  • Family Medicine Physician
  • Sugar Grove, NC
National Provider Identifier
1982376679
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PITT-5AA0P Issued in NC
Practice address
2165 Laurel Creek Rd
Sugar Grove, NC 28679-9520
Phone
(828) 773-6851
NPI assigned
Sep 30, 2021
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PITT-5AA0P NC Primary

Addresses

Primary practice location

2165 Laurel Creek Rd
Sugar Grove, NC 28679-9520

Mailing address

2165 Laurel Creek Rd
Sugar Grove, NC 28679-9520
Phone (828) 773-6851

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
I20240731001867 NC Practitioner - Nurse Practitioner 6002353760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PITT-5AA0PNCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Urgent Care Center, PLLC Family Medicine CurrentSince May 17, 2024 Accepting new patients
Telehealth Solution PLLC PastSince Apr 3, 2017 Accepting new patients

Locations

9101 Pineville Matthews Rd
Ste R
Pineville, NC 28134
Phone (704) 253-4400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1982376679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 LAUREL CREEK RD",
            "city": "SUGAR GROVE",
            "state": "NC",
            "postal_code": "286799520",
            "telephone_number": "828-773-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 LAUREL CREEK RD",
            "city": "SUGAR GROVE",
            "state": "NC",
            "postal_code": "286799520",
            "telephone_number": "828-773-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "LOIS",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "PITT-5AA0P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, NC

Sources for this page

Verify at the official NPI Registry.