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WHITE LAKE FAMILY PRACTICE, PLLC
NPI 1881916385
Nurse Practitioner - Family in Elizabethtown, NC

Active since February 24, 2010
1921 WHITE LAKE DR, ELIZABETHTOWN, NC 28337(910) 862-6491(910) 862-7641 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Lake Family Practice, Pllc NPPES

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

WHITE LAKE FAMILY PRACTICE, PLLC (NPI 1881916385) is a healthcare organization registered as a family in Elizabethtown, North Carolina and active in the NPI registry since February 2010. The organization lists Peggy Hill Newman, Family Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1881916385
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWHITE LAKE FAMILY PRACTICE, PLLC
Location Address1921 WHITE LAKE DRElizabethtown, NC 28337-6236
Mailing Address1921 White Lake DrElizabethtown, NC 28337-6236 · (910) 862-6491 · Fax (910) 862-7641
Phone(910) 862-6491
Fax(910) 862-7641
Organization SubpartNo
Authorized OfficialPeggy Hill NewmanFamily Nurse Practitioner/owner · (910) 862-6491
Enumeration DateFebruary 24, 2010
✔ NPI 1881916385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 201247
1921 WHITE LAKE DR, Elizabethtown, NC 28337
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SOUTHEASTERN HEALTH PHYSICIAN SERVICES
General Practice
1921 WHITE LAKE DR
ELIZABETHTOWN, NC 28337
Bladen County (910) 862-6491

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 White Lake Family Practice, PLLC's NPI number?

The NPI number for White Lake Family Practice, PLLC is 1881916385. It was assigned to this organization in the NPPES registry on February 24, 2010.

Where is White Lake Family Practice, PLLC located?

White Lake Family Practice, PLLC is located at 1921 White Lake Dr, Elizabethtown, NC 28337. The listed phone number is (910) 862-6491.

What is White Lake Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for White Lake Family Practice, PLLC was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.