Active NPI
Lloyd Austin Aaron Runser, MD, MPH, FAAFP
- Family Medicine Physician
- Cornelius, NC
National Provider Identifier
1962542365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2016-02471
- Practice address
- 19485 Old Jetton Rd Ste 100
Suite 100
Cornelius, NC 28031-6583 - Phone
- (704) 316-5170
- NPI assigned
- Feb 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23944 | NE | |
| Family Medicine Physician | 207Q00000X | 2016-02471 | NC | Primary |
Addresses
Primary practice location
19485 Old Jetton Rd Ste 100
Suite 100
Cornelius, NC 28031-6583
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5170
Other practice location 1
600 N 2nd St
Harrisburg, PA 17101-1092
Phone (434) 248-7508
Other practice location 2
250 Browns Hill Ct
Midlothian, VA 23114-9510
Phone (434) 248-7508
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lrunser436265@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-02471 | NC | MD | Family Medicine Physician |
| 23944 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Emergency Services, PLLC | Current | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Chrysalis Health of Illinois P.C. | Past | Accepting new patients | |
| Chrysalis Health of Florida P.a. | Past | Accepting new patients |
Locations
200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- lrunser436265@direct.novanthealth.org
- lloyd.runser.1@19041.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Jefferson, NC
- NPI 1720495336
-
- Endocrinology, Diabetes & Metabolism Physician
- Miami, FL
- NPI 1346873015
-
- Endocrinology, Diabetes & Metabolism Physician
- Chicago, IL
- NPI 1245701812
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1962542365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-316-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19485 OLD JETTON RD STE 100",
"address_2": "SUITE 100",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316583",
"telephone_number": "704-316-5170"
}
],
"practiceLocations": [
{
"address_1": "600 N 2nd St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171011092",
"country_code": "US",
"telephone_number": "434-248-7508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Browns Hill Ct",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231149510",
"country_code": "US",
"telephone_number": "434-248-7508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUNSER",
"first_name": "LLOYD",
"middle_name": "AUSTIN AARON",
"name_prefix": "Dr.",
"credential": "MD, MPH, FAAFP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "23944",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2016-02471",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lrunser436265@direct.novanthealth.org",
"affiliation": "N",
"address_1": "19485 Old Jetton Rd Ste 100",
"address_2": "Suite 100",
"city": "Cornelius",
"state": "NC",
"country_code": "US",
"postal_code": "280316583",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.