Individual provider Active NPI

Lauren Elizabeth Roddy, MD

  • Family Medicine Physician
  • Clyde, NC
National Provider Identifier
1992384267
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
327677 Issued in NY
Practice address
6750 Carolina Blvd
Clyde, NC 28721-7052
Phone
(828) 627-2211
Fax
(855) 876-9354
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 327677 NY Primary

Addresses

Primary practice location

6750 Carolina Blvd
Clyde, NC 28721-7052

Mailing address

6750 Carolina Blvd
Clyde, NC 28721-7052
Phone (828) 627-2211

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325002373 NC Practitioner - Family Practice 7719400381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Univeristy of Texas Rio Grande Valley Med School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midway Medical Center PAGroup PAC ID 0547208860, 8 clinicians

Practice addresses (Care Compare)

6750 Carolina Blvd
Clyde, NC 28721-7052
Phone (828) 627-2211

Hospital & facility affiliations

  • Home Care Services of Haywood Regional Medical Center Home health agency, Waynesville, NC, CCN 347035
  • Centerwell Home Health Home health agency, Asheville, NC, CCN 347235
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
327677NYMDLicensed Practical Nurse

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.

Hospital & facility affiliations 3

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1992384267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 CAROLINA BLVD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217052",
            "telephone_number": "828-627-2211",
            "fax_number": "855-876-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 CAROLINA BLVD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217052",
            "telephone_number": "828-627-2211",
            "fax_number": "855-876-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "327677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.