Look up the most recent NPI and PECOS records

Lauren Nicole John

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

12611 N Community House Rd Ste 102, Charlotte, NC 28277-3817

PECOS Enrollment

This provider is enrolled in PECOS as LAUREN JOHN.

Based on the most recent information from CMS, provider Lauren Nicole John is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1265190276
Provider Type
Individual
Full Name
John, Lauren Nicole
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
12/7/2021
Last Updated
4/16/2025

Contact Information

Practice Location

12611 N Community House Rd Ste 102, Charlotte, NC 28277-3817

(704) 544-8200

Unlisted Fax

Mailing Location

1072 X Ray Dr, Gastonia, NC 28054-7488

(704) 671-1094

(704) 671-1095

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-13391 North Carolina

Lauren Nicole John

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bush, Nicole Vanderbosch

Manzi, Monica Ann

Bagley, Sarah Kathryn

Tomlinson, Blair Strandberg

Andrews, Jamie Michael

Ross, Taylor

Corlett, Eric James

Rodriguez, Mariah Leigh

Paris, Melissa Lynn

Gossard, Kaitlyn