Individual provider Active NPI

Liliane Ziherambere Tyson, MD

  • Hospitalist Physician
  • Greenville, NC
National Provider Identifier
1487853065
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2010-02141 Issued in NC
Practice address
2100 Stantonsburg Rd
Uhs Physicians -Gaskins Leslie Center (GLC) Suite 252 a
Greenville, NC 27834-2818
Phone
(252) 847-3899
NPI assigned
Jul 13, 2007
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010-02141 NC
Pediatrics Physician 208000000X 2010-02141 NC
Hospitalist Physician 208M00000X 2010-02141 NC Primary

Addresses

Primary practice location

2100 Stantonsburg Rd
Uhs Physicians -Gaskins Leslie Center (GLC) Suite 252 a
Greenville, NC 27834-2818

Mailing address

2100 Stantonsburg Rd
Uhs Physicians- GLC Suite 252 a
Greenville, NC 27834-2818
Phone (252) 847-3899

Other practice location 1

100 Airport Rd Fl 4
Kinston, NC 28501-1604
Phone (252) 522-7197

Other names 1

  • Liliane Ziherambere Tyson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltyson292406@direct.UNC.nchie.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000108 NC Practitioner - Internal Medicine 1254513393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-02141NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince May 20, 2015 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Sep 18, 2022 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2100 Stantonsburg Rd
Ste 252
Greenville, NC 27834
Phone (252) 847-3899

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

100 Airport Rd
Fl 4
Kinston, NC 28501
Phone (252) 522-7197

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: ltyson292406@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1487853065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "address_2": "UHS PHYSICIANS- GLC SUITE 252 A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-847-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "address_2": "UHS PHYSICIANS -GASKINS LESLIE CENTER (GLC) SUITE 252 A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-847-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Airport Rd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011604",
            "country_code": "US",
            "telephone_number": "252-522-7197",
            "fax_number": "252-522-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "LILIANE",
        "middle_name": "ZIHERAMBERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-02141",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-02141",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2010-02141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltyson292406@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "100 Airport Rd Fl 4",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LILIANE",
            "last_name": "ZIHERAMBERE TYSON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.