Individual provider Active NPI

Dylan Lantz, FNP-BC

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1366023202
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014316 Issued in NC
Practice address
503 Bowman Gray Dr
Greenville, NC 27834-7286
Phone
(252) 816-4001
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014316 NC Primary

Addresses

Primary practice location

503 Bowman Gray Dr
Greenville, NC 27834-7286

Mailing address

102 Seaview St
Beaufort, NC 28516-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210524000021 NC Practitioner - Nurse Practitioner 3678972700 Reassigns benefits to 5 organizations
I20220613002364 TN Practitioner - Nurse Practitioner 3678972700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5014316NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tarheel Emergency Group, PLLC CurrentSince Aug 10, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 15, 2021 Accepting new patients
Emergency Medicine Physicians of Craven County, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Emergency Coverage, LLC CurrentSince Feb 1, 2025 Accepting new patients
T M Carr MD PC CurrentSince Dec 21, 2023 Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Cane Ridge Emergency Physicians LLC Past Accepting new patients

Locations

503 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 816-0600

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1366023202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SEAVIEW ST",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285162326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347286",
            "telephone_number": "252-816-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "DYLAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.