Lysa B Long (NPI# 1619110418, PAC ID# 9335485655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE (CNM).
| Nation Provider ID (NPI) | 1619110418 |
| PAC ID by PECOS | 9335485655 |
| Professional Enrollment ID | I20190108001594 |
| Full Name | Lysa B Long |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
509 Olde Waterford Way Suite 204 Leland NC 28451-4126 |
| Phone Number | 9107214210 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 509 Olde Waterford Way, Suite 204, Leland, NC 28451-4126 | 9107214210 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
509 OLDE WATERFORD WAY SUITE 204 |
| City | LELAND |
| State | NC |
| Zip | 28451-4126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin E Asbury | Family Medicine | Novant Medical Group Inc | 509 Olde Waterford Way, Suite 200, Leland, NC 28451-4126 |
| Tori Asbury | Family Medicine | Novant Medical Group Inc | 509 Olde Waterford Way, Suite 200, Leland, NC 28451-4126 |
| Christopher P Rizzo | Chiropractic | Rizzo Enterprises Inc | 509 Olde Waterford Way, Suite 201, Leland, NC 28451-4126 |
| Joana A Carnahan | Family Medicine | Novant Medical Group Inc | 509 Olde Waterford Way, Suite 200, Leland, NC 28451-4126 |
| Steven J Maniscalco | Chiropractic | Rizzo Enterprises Inc | 509 Olde Waterford Way, Suite 201, Leland, NC 28451-4126 |
| Catherine M Furlani | Nurse Practitioner | Carolina Healthcare Associates Inc | 509 Olde Waterford Way, Leland, NC 28451-4125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennah Cutting | Nurse Practitioner | Moore Medical Group Inc | 2050 Mercantile Dr, Leland, NC 28451-4053 |
| Benjamin Donaldson | Physician Assistant | 2050 Mercantile Dr, Suite C9, Leland, NC 28451-4053 | |
| Linda Joyce Cooper | Clinical Social Worker | 1008 Little Egret Run, Leland, NC 28451-4108 | |
| Sarah Thompson Ihnat | Physical Therapy | Core Therapy Services Inc | 1107 New Pointe Blvd, Suite B 6, Leland, NC 28451-4128 |
| Ryan Xavier Walsh | Physical Therapy | Core Therapy Services Inc | 1107 New Pointe Blvd, Suite B 6, Leland, NC 28451-4128 |
| Brian C Tantilla | Physical Therapy | Core Therapy Services Inc | 1107 New Pointe Blvd, Suite B 6, Leland, NC 28451-4128 |
| Frederick B Ireland | Physical Therapy | Core Therapy Services Inc | 1107 New Pointe Blvd, Leland, NC 28451-4128 |
| Bret Gillespie | Physical Therapy | Benchmark Physical Therapy of North Carolina LLC | 503 Olde Waterford Way, Suite 205, Leland, NC 28451-4148 |
| Samantha Lesley Watson | Physical Therapy | Benchmark Physical Therapy of North Carolina LLC | 503 Olde Waterford Way, Suite 205, Leland, NC 28451-4148 |
| William Cooner | Physical Therapy | Benchmark Physical Therapy of North Carolina LLC | 503 Olde Waterford Way, Suite 205, Leland, NC 28451-4148 |
| Find all physicians in zip 28451 | |||
| City | LELAND |
| Zip Code | 28451 |
| Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| City + Specialty | LELAND + CERTIFIED NURSE MIDWIFE (CNM) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.