Licensee Information

Laura Jean Crumpler - PA-C

License #:

102557

License Status:

Active

Public Action:

Issue Date:

01/23/1999

Renewal Date:

05/10/2027

Active Supervisor

Name	Type	Status	Approved
Mullins, James T. Jeffrey, MD	MD	Active	08/16/2015
Roedersheimer, Kyle Michael, MD	MD	Active	04/27/2023
Taylor, Jerry Juergen, MD	MD	Active	04/27/2023

North Carolina Hospital Admitting Privileges

Location
Carolinas Medical Center - Union
Carolinas Medical Center Mercy/Pineville

Out of State Active/Inactive Licenses

State
North Carolina

Out of Country Active/Inactive Licenses

Country
None Reported

Address

WFEP
2700 Providence Rd. S
Waxhaw, NC 28173
704-667-6800

Information

Days patients are seen at this practice: 24/7

Practice philosophy:

Non-English languages in which office is able to provide clinical services (e.g. Hindi, Spanish): Spanish

Non-English languages in which practitioner is able to provide clinical services (e.g. Hindi, Spanish):

Participates in Medicare: Yes

Accepting new Medicare patients: Yes

Participates in Medicaid: Yes

Accepting new Medicaid patients: Yes

Uses electronic medical records: Yes

PA School

School	Graduation
Kettering College	1998

Area of Practice

Area Of Practice	Primary
Emergency Medicine	Yes

Current Membership in Medical Professional Organizations

Membership
North Carolina Association of Physician Assistants

Honors & Awards

Honor/Award	Given By	Date
Kenneth C. Smith Scholarship	KCMA Foundation	1997
Alpha Lambda Delta Honor Society	Kent State University	1991

Public Service

Name of Clinic	Service Description	Date
Quito, Ecuador	Medical Mission Trip	2004

Current Academic Appointments

Title	Institution	City, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

Date	Description	Link
None Reported

Other Regulatory Board or Agency Public Actions

Date	Name of Board/Agency	Action Taken	Link
None Reported

Health Care Institution Suspensions and Revocations

Date	Health Care Institution	Action Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

Date	Description	Link
None Reported

North Carolina Special Purpose Licensing Agreement

Date	Description	Link
None Reported

Malpractice Information

Incident Date	Payment Date	Area of Practice	City, State, Country	Response
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction Date	Conviction	Jurisdiction	Sentence
None Reported

Felony Conviction Information

Conviction Date	Conviction	Jurisdiction	Sentence
None Reported

Information loaded from this database is current as of 7/30/2026 2:57:04 AM

Back to Results Print Back to Home