Individual provider Active NPI

Lloyd Austin Aaron Runser, MD, MPH, FAAFP

  • Family Medicine Physician
  • Cornelius, NC
National Provider Identifier
1962542365
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-02471 Issued in NC
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

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706001169 NC Practitioner - Family Practice 9931381308 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-02471NCMDFamily Medicine Physician
23944NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Services, PLLC CurrentSince Apr 30, 2017 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: lrunser436265@direct.novanthealth.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.