Active NPI
Lance K Dyess, M.D.
- Family Medicine Physician
- Elba, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00010790
- Practice address
- 252 Larkin Rd Ste a
Elba, AL 36323-5102 - Phone
- (334) 897-2207
- Fax
- (334) 853-0128
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00010790 | AL | Primary |
Addresses
Primary practice location
252 Larkin Rd Ste a
Elba, AL 36323-5102
Mailing address
252 Larkin Rd Ste a
Elba, AL 36323-5102
Phone (334) 897-2207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009918640 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110608000127 | AL | Practitioner - Family Practice | 2062326135 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blissful Healthcare LLCTroy Regional Physicians Inc
Practice addresses (Care Compare)
101 E Paulk Ave
Suite a
Opp, AL 36467-1727
Phone (334) 493-0311
1320 Hwy 231 S
Troy, AL 36081-3000
Phone (334) 670-5430
664 Veterans Blvd
Brundidge, AL 36010-1202
Phone (334) 670-5000
Hospital & facility affiliations
- LHC Homecare of South Alabama
- Enhabit Home Health
- Troy Regional Medical Center
- Medical Center Enterprise
- Southeast Health Medical Center
- Mizell Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10790 | AL | MD | Pharmacist |
| 00010790 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blissful Healthcare LLC | Family Medicine | Current | Accepting new patients |
| Troy Hospital Health Care Authority | Family Medicine | Current | Accepting new patients |
| Troy Regional Physicians Inc | Current | Accepting new patients | |
| The Health Care Authority of Elba Alabama | Current | Accepting new patients | |
| Troy Regional Physicians Inc | Current | Accepting new patients | |
| Noah Tucker Inpatient Services | Past | Accepting new patients | |
| Pea River Emergency Physicians | Past | Accepting new patients | |
| Elba Nursing and Rehabilitation Center LLC | Past | Accepting new patients | |
| Geneva Emergency Physicians LLC | Past | Accepting new patients |
Locations
987 Drayton Ave
Elba, AL 36323
Phone (334) 322-1730
252 Larkin Rd
#A
Elba, AL 36323
Phone (334) 897-2207
252 Larkin Rd
Elba, AL 36323
Phone (334) 670-5427
101 E Paulk Ave
#A
Opp, AL 36467
Phone (334) 493-0311
1320 Highway 231 S
Ste 1
Troy, AL 36081
Phone (334) 566-0546
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
Interoperability endpoints
- lance.dyess.1@18641.direct.athenahealth.com
- https://api.platform.athenahealth.com/18641/brand/1/csg/1/fhir/r4
- lance.dyess.1@3503.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Troy, AL
- NPI 1275840779
AL, Family Medicine
-
- Rural Acute Care Hospital
- Elba, AL
- NPI 1114904968
-
- Specialist
- Troy, AL
- NPI 1366750788
-
- Skilled Nursing Facility
- Elba, AL
- NPI 1396181913
-
- Emergency Medicine Physician
- Opp, AL
- NPI 1326081498
-
- Hospitalist Physician
- Elba, AL
- NPI 1871850297
-
- Emergency Medicine Physician
- Elba, AL
- NPI 1275890691
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dothan, AL
- NPI 1770561268
-
- Home Health Agency
- Opp, AL
- NPI 1033293352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1912980269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 LARKIN RD STE A",
"city": "ELBA",
"state": "AL",
"postal_code": "363235102",
"telephone_number": "334-897-2207",
"fax_number": "334-853-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 LARKIN RD STE A",
"city": "ELBA",
"state": "AL",
"postal_code": "363235102",
"telephone_number": "334-897-2207",
"fax_number": "334-853-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYESS",
"first_name": "LANCE",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "00010790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009918640",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elba, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.