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

Mr. James Bryan Lake, FNP-C

Individual provider Nurse Practitioner · NPI 1124704796

Mr. James Bryan Lake, FNP-C is a Nurse Practitioner in Kinston, North Carolina. Qualified in 2023, 3 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

701 Doctors Dr Ste N
Kinston, NC 28501-1584
Phone: (252) 559-2200
Fax: (252) 523-7642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence LAKE-2S9JB (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence LAKE-2S9JB (NC)

Record details

NPI number1124704796
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESOctober 5, 2023
Certification dateOctober 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kinston