Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lori P Hvozdovic, PAC

Individual provider Physician Assistant · NPI 1578529608

Lori P Hvozdovic, PAC is a Physician Assistant in Greensboro, North Carolina. Qualified in 1986, 40 years ago. Practices with Outer Banks Professional Services, LLC, a 162-clinician group and accepts Medicare assignment. Licensed in Connecticut and North Carolina.

Years since qualifying
40
Licensed in
CT, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

520 N Elam Ave
Greensboro, NC 27403-1127
Phone: (336) 547-1700
Fax: (336) 547-1828
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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 0010-04838 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 000025 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25 (CT)

Record details

NPI number1578529608
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 14, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Outer Banks Professional Services, Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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