Individual provider Active NPI

Brandi Leigh Lyon, DNP

  • Pediatrics Physician
  • Marion, NC
National Provider Identifier
1104572122
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5018319 Issued in NC
Practice address
387 US 70 W
Marion, NC 28752-6202
Phone
(828) 652-6386
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5018319 NC
Pediatrics Physician 208000000X 5018319 NC Primary

Addresses

Primary practice location

387 US 70 W
Marion, NC 28752-6202

Mailing address

387 US 70 W
Marion, NC 28752-6202
Phone (828) 652-6386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824004175 NC Practitioner - Nurse Practitioner 8820471378 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24268SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Aug 19, 2023 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Aug 19, 2023 Accepting new patients
MH Mission Hospital McDowell, LLLP CurrentSince Jul 31, 2023 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

387 US 70 W
Marion, NC 28752
Phone (828) 652-6386

339 Nebo School Rd
Nebo, NC 28761
Phone (828) 652-6326

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1104572122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 US 70 W",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526202",
            "telephone_number": "828-652-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 US 70 W",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526202",
            "telephone_number": "828-652-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "BRANDI",
        "middle_name": "LEIGH",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5018319",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "5018319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.