Individual provider Active NPI

Graham Warner Lyles, M.D.

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1508062399
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2011-00075 Issued in NC
Practice address
8 North Pointe Court
Greensboro, NC 27408-3187
Phone
(336) 274-4626
Fax
(336) 274-7952
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2011-00075 NC Primary
Ophthalmology Physician 207W00000X RTL140925 NC
Ophthalmology Physician 207W00000X 140925 NC

Addresses

Primary practice location

8 North Pointe Court
Greensboro, NC 27408-3187

Mailing address

8 North Pointe Court
Greensboro, NC 27408-3187
Phone (336) 274-4626

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
I20110901000608 NC Practitioner - Ophthalmology 3870763782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Ophthalmology Assoc PAGroup PAC ID 6901702117, 6 clinicians

Practice addresses (Care Compare)

8 N Pointe CT
Greensboro, NC 27408-3187
Phone 3362744626223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RTL140925NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Ophthalmology Assoc PA CurrentSince Aug 1, 2011 Accepting new patients

Locations

348 N Elm St
Greensboro, NC 27401
Phone (336) 274-4626

8 N Pointe Ct
Greensboro, NC 27408
Phone (336) 274-4626

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1508062399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NORTH POINTE COURT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083187",
            "telephone_number": "336-274-4626",
            "fax_number": "336-274-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NORTH POINTE COURT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083187",
            "telephone_number": "336-274-4626",
            "fax_number": "336-274-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "GRAHAM",
        "middle_name": "WARNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2011-00075",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "RTL140925",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "140925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.