Provider Demographics
NPI:1427006436
Name:MEADE, ROBERT LAWTON JR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LAWTON
Last Name:MEADE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602373
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2373
Mailing Address - Country:US
Mailing Address - Phone:828-526-1280
Mailing Address - Fax:828-526-1285
Practice Address - Street 1:190 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7600
Practice Address - Country:US
Practice Address - Phone:828-526-1200
Practice Address - Fax:828-526-1230
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48853207Q00000X
NC2013-00725207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14194OtherBCBS
NCP01447966OtherRAILROAD MEDICARE
GA329964944AMedicaid
NCNCM488A194OtherMEDICARE PTAN
FL372067500Medicaid
FL14194OtherBCBS
GA329964944AMedicaid
FLP00348318Medicare PIN