Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren B Busam, PA-C

Individual provider Physician Assistant · NPI 1013495407

Lauren B Busam, PA-C is a Physician Assistant in Clayton, North Carolina. Qualified in 2018, 8 years ago. Practices with Mitra Pain Management PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Ohio.

Years since qualifying
8
Licensed in
NC, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

935 Shotwell Rd Ste 108
Clayton, NC 27520-5598
Phone: (919) 329-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10934 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 50.000000 (OH)

Record details

NPI number1013495407
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 30, 2018
Last updated in NPPESJanuary 28, 2023
Certification dateJanuary 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mitra Pain Management Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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