Active NPI
Cody Wayne Lawson, ATC
- Physician Assistant
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2211 Riverside Ave
Minneapolis, MN 55454-1350 - Phone
- (612) 330-1000
- NPI assigned
- Sep 15, 2020
- Last updated
- Dec 15, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
2211 Riverside Ave
Minneapolis, MN 55454-1350
Mailing address
115 2ND Ave S Apt 701
Minneapolis, MN 55401-2014
Phone (276) 618-1593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1119 N Military Hwy
Suite 300
Norfolk, VA 23502-2415
Phone (757) 224-3004
2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 686-3508
325 Volvo Pkwy
Suite 103
Chesapeake, VA 23320-4654
Phone (757) 240-3500
4221 Tuckaseegee Rd
Charlotte, NC 28208-2801
Phone (704) 395-0060
4909 Green Rd
Raleigh, NC 27616-3418
Phone (919) 790-0288
602 Brandon Ave SW
Suite 222
Roanoke, VA 24015-3212
Phone (540) 774-0000
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.87 of 100
- Quality
- 95.04
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of North Carolina, P.C. | Current | Accepting new patients | |
| Short Pump Family Care, LLC | Past | Accepting new patients | |
| Blue Ridge Healthcare Partners, LLC | Past | Accepting new patients |
Locations
4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1306015102
NC
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1619274446
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
-
- Primary Care Clinic/Center
- Midlothian, VA
- NPI 1487068334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1477168565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 2ND AVE S APT 701",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554012014",
"telephone_number": "276-618-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541350",
"telephone_number": "612-330-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "CODY",
"middle_name": "WAYNE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.
- 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.