NPIMap

Individual provider Active NPI

Lindsay Yount Lyall, PA

  • Physician Assistant
  • Jefferson, NC
National Provider Identifier
1649660481
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05520 Issued in NC
Practice address
151 Medical Park Dr
Jefferson, NC 28640-9560
Phone
(336) 246-7161
Fax
(336) 246-6183
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05520 NC Primary

Addresses

Primary practice location

151 Medical Park Dr
Jefferson, NC 28640-9560

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331

Other names 1

  • Miss Lindsay Claire Yount Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150316000318 NC Practitioner - Physician Assistant 5991022790 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest Health Network LLC 276 clinicians

Practice addresses (Care Compare)

151 Medical Park Dr
Jefferson, NC 28640-9560
Phone (336) 246-7161

770 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone (336) 765-5250

905 Phillips Ave
High Point, NC 27262-7075
Phone (336) 802-2040

Medical Ctr Blvd
Winston Salem, NC 27157-0001

Hospital & facility affiliations

  • Medi Home Health and Hospice Home health agency, Boone, NC, CCN 347020
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
  • Wilkes Regional Medical Center Hospital, North Wilkesboro, NC, CCN 340064
  • Watauga Medical Center Hospital, Boone, NC, CCN 340051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05520NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Aug 8, 2022 Accepting new patients
Cornerstone Healthcare LLC CurrentSince Aug 8, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 9, 2015 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 9, 2015 Accepting new patients
Greenville Health Care Center,PA Past Accepting new patients

Locations

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

151 Medical Park Dr
Jefferson, NC 28640
Phone (336) 246-7161

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

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 11

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.

Hospital & facility affiliations 9

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1649660481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MEDICAL PARK DR",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409560",
            "telephone_number": "336-246-7161",
            "fax_number": "336-246-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYALL",
        "first_name": "LINDSAY",
        "middle_name": "YOUNT",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "YOUNT",
            "middle_name": "CLAIRE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson, NC

Sources for this page

Verify at the official NPI Registry.