Lloyd Emery Nickerson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38151 Issued in NC

Practice address

1811 E Innes St
Salisbury, NC 28146-6030

Phone

(704) 216-8777

Fax

(704) 638-3129

NPI assigned

Oct 19, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 14

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Rowan

  dba Rowan County Health Department

  • State or Local Public Health Clinic/Center
  • Salisbury, NC
  • NPI 1194803437
  Medicare reassignment NPD
• County of Rowan

  dba Rowan County Health Department

  • State or Local Public Health Clinic/Center
  • Salisbury, NC
  • NPI 1427128651
  NPD
• Family Medical Care of Rowan-Spencer

  • Family Medicine Physician
  • Spencer, NC
  • NPI 1033196837
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942382940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466030",
            "telephone_number": "704-216-8777",
            "fax_number": "704-638-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466030",
            "telephone_number": "704-216-8777",
            "fax_number": "704-638-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "LLOYD",
        "middle_name": "EMERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID #",
            "identifier": "561794820",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRUDENTIAL ID",
            "identifier": "561794820",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890138R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSOURCE",
            "identifier": "2723",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942382940",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI ID",
            "identifier": "28472",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "38151",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PERSONAL ID",
            "identifier": "62644",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962644",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-41632",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "561794820",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS GROUP ID",
            "identifier": "0138R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG ID",
            "identifier": "202595",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS ID",
            "identifier": "3926",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Nguyen, PHARMD
• My Nguyen, PHARMD
• Simon Nguyen
• Nicholas James Penna D.D.S.,P.a.
• Nicole Nichols, R.T.(R)(CT)(ARRT)
• Nicole Graham
• Traci Jinean Nixon, FNP
• Lauren Barrett Nolan, PA-C
• Marlon Nolen, MSW, LCSW
• Brett Alan Norem, R.PH.

• Family Medicine Physician in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.