1. Home
  2. Directory
  3. North Carolina
  4. Gastonia
  5. Nurse Practitioner
  6. NPI Profile

LESLEY FORDE COGBURN NP
NPI 1861118168
Nurse Practitioner - Pediatrics in Gastonia, NC

Active since October 18, 2022PECOS Enrolled
2555 COURT DR STE 270, GASTONIA, NC 28054(704) 834-4390(704) 834-3274 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 14, 2023, Apr 5, 2023, Oct 18, 2022 (3 updates tracked since 2022).

About Lesley Forde Cogburn Np NPPES

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

LESLEY FORDE COGBURN NP (NPI 1861118168) is an individual pediatrics provider in Gastonia, North Carolina, licensed in North Carolina (5017807) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861118168
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLESLEY FORDE COGBURNCredential: NP
Location Address2555 COURT DR STE 270Gastonia, NC 28054-2185
Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331
Phone(704) 834-4390
Fax(704) 834-3274
Sole ProprietorNo
Enumeration DateOctober 18, 2022
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1861118168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NC · 5017807
2555 COURT DR STE 270, Gastonia, NC 28054
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesley Forde Cogburn Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Lesley Cogburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caromont Medical Group, Inc.
Same address
Infectious Disease
2555 COURT DR STE 350
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1568643583 (704) 834-2465

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MICHAEL RAYMOND GOELLER D.O.
Internal Medicine
2555 COURT DR STE 270
GASTONIA, NC 28054
Gaston County (704) 834-4390
JEFFREY TODD BUNNING MD
Pathology (Anatomic Pathology & Clinical Pathology)
2555 COURT DR STE 270
GASTONIA, NC 28054
Gaston County (704) 671-5313
DR. ASEEM GAUTAM KAUL
Hospitalist
2555 COURT DR STE 270
GASTONIA, NC 28054
Gaston County (704) 834-2000
TIFFANY MUSICK MD
Family Medicine
2555 COURT DR STE 270
GASTONIA, NC 28054
Gaston County (704) 834-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lesley Cogburn's NPI number?

The NPI number for Lesley Cogburn is 1861118168. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Lesley Cogburn located?

Lesley Cogburn practices at 2555 Court Dr Ste 270, Gastonia, NC 28054. The listed phone number is (704) 834-4390.

What is Lesley Cogburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lesley Cogburn enrolled in Medicare?

Yes. Lesley Cogburn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lesley Cogburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lesley Cogburn reassigns Medicare benefits to Caromont Medical Group, Inc. (Gastonia, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lesley Cogburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lesley Cogburn was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.