LILLY GRACE MCINCROW MD
NPI 1508709528
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Lilly Mcincrow's NPI number?

The NPI number for Lilly Mcincrow is 1508709528. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Q: What is Lilly Mcincrow's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lilly Mcincrow was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2026PECOS Enrolled

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1544(704) 446-1551 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lilly Grace Mcincrow Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLY GRACE MCINCROW MD (NPI 1508709528) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508709528

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLILLY GRACE MCINCROWCredential: MD

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing Address1417 E 55th StSavannah, GA 31404-4617

Phone(704) 446-1544

Fax(704) 446-1551

Sole ProprietorNo

Enumeration DateApril 13, 2026

NPPES CertifiedApril 13, 2026

✔ NPI 1508709528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1350 S KINGS DR, Charlotte, NC 28207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lilly Grace Mcincrow Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)