DR. GADDY LASSITER M.D. NPI 1700862083

NPI Information

  • NPI: 1700862083
  • Provider Name: DR. GADDY LASSITER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 103 E MAIN ST
    HARRELLSVILLE, NC
    ZIP 27942
  • Phone: (252) 356-6544

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NPI Details

DR. Gaddy Lassiter, M.D. is a family medicine in Harrellsville, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gaddy Lassiter, M.D. NPI is 1700862083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

103 E MAIN ST
HARRELLSVILLE, NC
ZIP 27942-201
Phone: (252) 356-6544
Fax: (252) 356-9907

The NPI 1700862083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 7/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine009900580NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12277138DMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE IND. #
2G96875MEDICARE UPINNORTH CAROLINA
32277138E (NICS LBG)MEDICARE PINNORTH CAROLINA
41216WOTHERNORTH CAROLINABC/BS IND. #
5891216WMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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