Active NPI
Edward D. Lance, M.D.
- Family Medicine Physician
- Burlington, NC
National Provider Identifier
1215954664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31562
- Practice address
- 316 N Graham Hopedale Rd
Burlington, NC 27217-2969 - Phone
- (336) 538-1234
- Fax
- (336) 584-6811
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31562 | NC | Primary |
Addresses
Primary practice location
316 N Graham Hopedale Rd
Burlington, NC 27217-2969
Mailing address
2929 Crouse LN
Ste E
Burlington, NC 27215-8317
Phone (336) 584-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8950676 | Medicaid | NC |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160714001534 | NC | Order and Referring Only - Hospice/Palliative Care | 6608950720 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31562 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tender Loving Care Health Care Services Southeast, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Memphis, TN
- NPI 1629018999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1215954664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 CROUSE LN",
"address_2": "STE E",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158317",
"telephone_number": "336-584-4440",
"fax_number": "336-584-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 N GRAHAM HOPEDALE RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172969",
"telephone_number": "336-538-1234",
"fax_number": "336-584-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCE",
"first_name": "EDWARD",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "31562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8950676",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.