Madison Lahr · Madison Blackwell · Physician Assistant

435 Clinic Drive, Module A, Greenville, NC 27834

Overview

Madison Lahr is a Physician Assistant practicing in Greenville, North Carolina. The National Provider Identifier (NPI) is #1154992337, which was assigned on July 8, 2021, and the registration record was last updated on May 9, 2025. The practitioner's main practice location is at 435 Clinic Drive, Module A, Greenville, NC 27834; the contact telephone number is 9105087434. The primary taxonomy of Madison Lahr is Physician Assistant (363A00000X). Madison Lahr is licensed to practice in the state of North Carolina (#0010-14067).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1154992337
Entity Type Individual
Provider Name MADISON LAHR
Other Name MADISON BLACKWELL
(Former Name)
Gender Female
Credential PA-C
Practice Address 435 Clinic Drive
Module A
Greenville
NC 27834
Practice Telephone 9105087434
Mailing Address 435 Clinic Drive
Module A
Greenville
NC 27834
Mailing Telephone 9105087434
Certification Date 2025-05-09
Enumeration Date 2021-07-08
Last Update Date 2025-05-09
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 8426448903
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name MADISON BLACKWELL LAHR
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name EAST CAROLINA UNIVERSITY
Address 600 Moye Blvd
Greenville
NC 27834-4300

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism0010-14067NC
N363AM0700XPhysician AssistantMedical
Y363A00000XPhysician Assistant

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
NAVAMEDICAID

Secondary Practice Locations

AddressTelephoneFax
2410 Atherholt Rd, Lynchburg, VA 2450121484342005252
600 Moye Blvd, Greenville, NC 27834430025274419592527441200

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Taxonomy

Code 207RE0101X
Taxonomy Endocrinology, Diabetes & Metabolism Physician
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 363AM0700X
Taxonomy Medical Physician Assistant
Classification Physician Assistant
Specialization Medical
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Christa Flowers-Rouse Dumc Box 102352, 10 Duke Medicine Circle, Durham, NC 27710Physician Assistant2025-09-06
Brandon Romero Servino 3325 Harold Dr Ne, Salem, OR 97305-1339Physician Assistant2025-09-05
Meriah Rose Hawkinson 312 Prince St, Sevierville, TN 37862-3823Physician Assistant2025-09-05
Alexandra Mccann 1211 Oak Harbor Ct, Pasadena, MD 21122-5358Physician Assistant2025-09-06
Ryan Popp 3399 Trindle Rd, Camp Hill, PA 17011-4407Physician Assistant2025-09-05
Cory Brett Cramer 9093 E State Road 54, Bloomfield, IN 47424-6054Physician Assistant2025-09-05
Olivia Rose Norris 3362 Chatsworth Way, Powder Springs, GA 30127-1359Physician Assistant2025-09-06
Lauren Renae Bartlett 900 N 92nd Street, Milwaukee, WI 53226Physician Assistant2025-09-05
Grace Amelia Bauer 345 Saint Paul St, Baltimore, MD 21202-2123Physician Assistant2025-09-05
Sabrina Denton 532 Smithridge Way, Fuquay Varina, NC 27526-2269Physician Assistant2025-09-05
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Location Information

Street Address 435 CLINIC DRIVE
MODULE A
City GREENVILLE
State NC
Zip Code 27834
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Brandon Allen Yates 435 Clinic Drive, Greenville, NC 27834Student in an Organized Health Care Education/Training Program2020-04-07

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Michael Johnson 500 Health Science Drive, Greenville, NC 27834Student in an Organized Health Care Education/Training Program2025-09-05
Alexander B Richardson 101 Heart Drive, Mail Stop 654, Greenville, NC 27834Student in an Organized Health Care Education/Training Program2022-03-25
Michael Milano 1851 Macgregor Downs Rd, Greenville, NC 27834Pediatric Dentist2006-07-24
James Lysaght 500 Health Science Dr, Greenville, NC 27834Student in an Organized Health Care Education/Training Program2025-09-05
Domonique Desiree' Trotter 600 Moye Boulevard, East Carolina University College of Nursing, Greenville, NC 27834Advanced Practice Midwife2021-06-20
Itzayana Pedro-Islas 500 Health Science Drive, Greenville, NC 27834Student in an Organized Health Care Education/Training Program2025-09-05
Mark S Bowman 1609 W Arlington Blvd, Suite 107, Greenville, NC 27834General Practice Dentistry2007-02-27
Karen Christine Scott Ecu Health Medical Center, 2100 Stantonsburg Rd, Greenville, NC 27834Nurse Practitioner2011-04-25
Cultivate Support Services LLC 1871 Allen Rd, Greenville, NC 27834Community/Behavioral Health Agency2025-04-09
Nash Wilkins Love Jr. 108 Dogwood Dr, Greenville, NC 27834Psychologist2007-07-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.