Healthcare Provider Details

I. General information

NPI: 1841827508
Provider Name (Legal Business Name): ASHLEY MARIE YVONNE GREEN LOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 420
MORRISVILLE NC
27560-5491
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-1884
  • Fax:
Mailing address:
  • Phone: 984-974-3066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number2026-02388
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: