Active NPI
Alicia Harrison Lazeski, M.D.
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2015-01567
- Practice address
- 15825 Ballantyne Medical PL Ste 100
Charlotte, NC 28277-0745 - Phone
- (704) 323-3400
- NPI assigned
- May 2, 2011
- Last updated
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2015-01567 | NC | Primary |
Addresses
Primary practice location
15825 Ballantyne Medical PL Ste 100
Charlotte, NC 28277-0745
Mailing address
4601 Park Rd
Suite 250
Charlotte, NC 28209-3239
Phone (704) 323-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689965162 | Medicaid | NC |
Other names 1
- Dr. Alicia Lynne Harrison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- State University of Ny Upstate Medical University, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
15825 Ballantyne Medical PL
Suite 100
Charlotte, NC 28277-4652
Phone (704) 542-1901
2536 Lengers Way
Fort Mill, SC 29707-7126
Phone (803) 313-3294
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
601 Sutton Rd S
Fort Mill, SC 29715-8439
Phone (803) 328-6306
6237 Carolina Commons Dr
Suite 110
Indian Land, SC 29707-6014
Phone (803) 266-7547
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina, PA | Current | Accepting new patients | |
| Orthocarolina | Current | Accepting new patients | |
| Orthocarolina | Current | Accepting new patients | |
| Orthocarolina | Past | Accepting new patients |
Locations
15825 Ballantyne Medical Pl
Ste 100
Charlotte, NC 28277
Phone (704) 323-3400
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
601 Sutton Rd S
Ste 101
Fort Mill, SC 29715
Phone (803) 328-6303
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
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.
-
- Orthopaedic Surgery Physician
- North Wilkesboro, NC
- NPI 1194167338
-
- Orthopaedic Surgery Physician
- Indian Land, SC
- NPI 1619641453
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1104843978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1689965162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD",
"address_2": "SUITE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093239",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15825 BALLANTYNE MEDICAL PL STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770745",
"telephone_number": "704-323-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZESKI",
"first_name": "ALICIA",
"middle_name": "HARRISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "2015-01567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689965162",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "HARRISON",
"middle_name": "LYNNE",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.