Individual provider Active NPI

Lee Tyler Stafford, DC

  • Chiropractor
  • Greensboro, NC
National Provider Identifier
1275019317
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4932 Issued in NC
Practice address
5006 High Point Rd Ste C
Greensboro, NC 27407-6235
Phone
(336) 763-0084
Fax
(336) 763-0534
NPI assigned
Jul 12, 2018
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4932 NC Primary

Addresses

Primary practice location

5006 High Point Rd Ste C
Greensboro, NC 27407-6235

Mailing address

5006 High Point Rd Ste C
Greensboro, NC 27407-6235
Phone (336) 763-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828002734 NC Practitioner - Chiropractic 5597014381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4932NCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Equilibrium Chiropractic PLLC. Chiropractor CurrentSince Mar 15, 2022 Accepting new patients
Gys Chiro Inc Chiropractor PastSince Jul 1, 2020 Accepting new patients

Locations

5006 High Point Rd
Ste C
Greensboro, NC 27407
Phone (336) 763-0084

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1275019317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 HIGH POINT RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076235",
            "telephone_number": "336-763-0084",
            "fax_number": "336-763-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 HIGH POINT RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076235",
            "telephone_number": "336-763-0084",
            "fax_number": "336-763-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "LEE",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.