Active NPI
Lydia H Miller Anderson, MD
- Psychiatry Physician
- Burlington, NC
National Provider Identifier
1982623294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9900949
- Practice address
- 319 N Graham Hopedale Rd
Suite a
Burlington, NC 27217-2990 - Phone
- (336) 513-4126
- Fax
- (336) 513-4203
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9900949 | NC | Primary |
Addresses
Primary practice location
319 N Graham Hopedale Rd
Suite a
Burlington, NC 27217-2990
Mailing address
202 Rossburn Way
Chapel Hill, NC 27516-8343
Phone (919) 960-0019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89133HW | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9900949 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982623294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 ROSSBURN WAY",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275168343",
"telephone_number": "919-960-0019",
"fax_number": "919-960-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 N GRAHAM HOPEDALE RD",
"address_2": "SUITE A",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172990",
"telephone_number": "336-513-4126",
"fax_number": "336-513-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER ANDERSON",
"first_name": "LYDIA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9900949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89133HW",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.