Active NPI
Wayne Anthony Lyssy, D.C.
- Chiropractor
- Saraland, AL
National Provider Identifier
1285686493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1482
- Practice address
- 112 Industrial Pkwy
Saraland, AL 36571-3702 - Phone
- (251) 675-5407
- Fax
- (251) 679-9725
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1482 | AL | Primary |
Addresses
Primary practice location
112 Industrial Pkwy
Saraland, AL 36571-3702
Mailing address
112 Industrial Pkwy
Saraland, AL 36571-3702
Phone (251) 675-5407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
112 Industrial Pkwy
Saraland, AL 36571-3702
Phone (251) 675-5407
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1482 | AL | MD | Professional Counselor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1285686493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 INDUSTRIAL PKWY",
"city": "SARALAND",
"state": "AL",
"postal_code": "365713702",
"telephone_number": "251-675-5407",
"fax_number": "251-679-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 INDUSTRIAL PKWY",
"city": "SARALAND",
"state": "AL",
"postal_code": "365713702",
"telephone_number": "251-675-5407",
"fax_number": "251-679-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYSSY",
"first_name": "WAYNE",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saraland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.