Healthcare Provider Details

I. General information

NPI: 1114793494
Provider Name (Legal Business Name): LILITH RAMSEY AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N ELM ST
GREENSBORO NC
27401-1004
US

IV. Provider business mailing address

3226 LYNNHAVEN DR
FAYETTEVILLE NC
28312-7213
US

V. Phone/Fax

Practice location:
  • Phone: 336-522-8999
  • Fax: 336-522-8998
Mailing address:
  • Phone: 540-446-3643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number5023074
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5023074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: