Individual provider Active NPI

Lindsey Mae Dupre, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1992109193
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11882 Issued in NC
Practice address
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone
(704) 377-2424
NPI assigned
Oct 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA031529 DC
Medical Physician Assistant 363AM0700X 0110-004749 VA
Physician Assistant 363A00000X 0010-11882 NC Primary

Addresses

Primary practice location

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035

Mailing address

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone (704) 377-2424

Other practice location 1

502 W Broad St Ste 2
Falls Church, VA 22046-3206
Phone (571) 421-8431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20220221000225 NC Practitioner - Physician Assistant 4082937123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

114 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

116 S Sharon Amity Rd
Charlotte, NC 28211-2802
Phone (980) 337-4428

11840 Southmore Dr
Suite 100
Charlotte, NC 28277-4821
Phone (704) 384-7976

1302 Wesley Chapel Rd
Suite a
Indian Trail, NC 28079-5243
Phone (704) 635-6411

13129 S Tryon St
Suite 120
Charlotte, NC 28278-7915
Phone (980) 337-4662

14214 Ballantyne Lake Rd
Suite 100
Charlotte, NC 28277-3373
Phone (704) 667-2650

15235 John J Delaney Dr
Suite B
Charlotte, NC 28277-2846
Phone (704) 243-8937

1530 S Providence Rd
Waxhaw, NC 28173-8313
Phone (704) 627-8365

17078 Nat Bynum LN
Unit 3
Cornelius, NC 28031-0507
Phone (704) 324-3975

3836 Corning PL
Charlotte, NC 28216-1224
Phone (704) 317-2108

4304 Park Rd
Charlotte, NC 28209-2271
Phone (704) 272-3395

4815 Berewick Town Ctr Dr
Charlotte, NC 28278-6973
Phone (980) 337-4652

8036 Providence Rd
Suite 100
Charlotte, NC 28277-0257
Phone (980) 301-8711

8450 Park Rd
Charlotte, NC 28210-5801
Phone (980) 308-0143

9121 Sam Furr Rd
Suite 108
Huntersville, NC 28078-8235
Phone (704) 324-3590

9600 E Independence Blvd
Suite B
Matthews, NC 28105-4628
Phone (704) 815-5624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA031529DCMDPhysician Assistant
0110-004749VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mema SC LLC CurrentSince Oct 13, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 11, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 6, 2026 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 11, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 6, 2026 Accepting new patients
Medical Faculty Associates, Inc. Past Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

231 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 304-6400

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

501 S Sharon Amity Rd
Ste 300
Charlotte, NC 28211
Phone (704) 319-5821

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1992109193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S SHARON AMITY RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282110035",
            "telephone_number": "704-377-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHARON AMITY RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282110035",
            "telephone_number": "704-377-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 W Broad St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220463206",
            "country_code": "US",
            "telephone_number": "571-421-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "LINDSEY",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-16",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031529",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-004749",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "502 W Broad St Ste 2",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220463206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.