Individual provider Active NPI

Lance K Dyess, M.D.

  • Family Medicine Physician
  • Elba, AL
National Provider Identifier
1912980269
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00010790 Issued in AL
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

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009918640MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1951643956, 3 clinicians
Troy Regional Physicians IncGroup PAC ID 1850587361, 17 clinicians

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 Home health agency, Opp, AL, CCN 017134
  • Enhabit Home Health Home health agency, Dothan, AL, CCN 017053
  • Troy Regional Medical Center Hospital, Troy, AL, CCN 010126
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10790ALMDPharmacist
00010790ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blissful Healthcare LLC Family Medicine CurrentSince Mar 17, 2022 Accepting new patients
Troy Hospital Health Care Authority Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Troy Regional Physicians Inc CurrentSince Nov 2, 2020 Accepting new patients
The Health Care Authority of Elba Alabama Current Accepting new patients
Troy Regional Physicians Inc CurrentSince Nov 2, 2020 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

  • Direct secure messaging: lance.dyess.1@18641.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18641/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.