Jamie Lyons, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-02383 Issued in NC

Practice address

1415 Physicians Dr
Wilmington, NC 28401-7338

Phone

(910) 662-9500

NPI assigned

Jul 26, 2010

Last updated

May 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jlyons@crhn.cernerdirect.com

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1659685188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017338",
            "telephone_number": "910-662-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Jefferson St",
            "address_2": "Ste 112",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723710",
            "country_code": "US",
            "telephone_number": "910-642-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "584 Hospital Dr NE",
            "address_2": "Unit E",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284220019",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JAMIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlyons54303@direct.nhrmc.org",
            "affiliation": "Y",
            "affiliationName": "NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC",
            "address_1": "1415 Physicians Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Lynch, O.D.
• Shannon Lee Lynch, APRN, FNP-C
• Lynn Parker Johnson PLLC
• Allison B Lynn, MD
• Charles Franklin Lyon, CADC
• Victoria Janine Lyons, NP
• Dawn Lysne, MD
• Dwight H Lysne, MD, MDIV
• Kayleen Maag
• Amber Lynn Maberry

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.