1. Home
  2. Directory
  3. North Carolina
  4. Saluda
  5. Family Medicine
  6. NPI Profile

LISA JACKSON BROYLES MD
NPI 1417081720
Family Medicine in Saluda, NC

Active since March 16, 2007PECOS Enrolled
1347 OZONE DR, SUITE 2, SALUDA, NC 28773(828) 749-0149 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 26, 2023, Jan 18, 2023, Oct 27, 2022 and 40 more (43 updates tracked since 2018).

About Lisa Jackson Broyles Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA JACKSON BROYLES MD (NPI 1417081720) is an individual family medicine provider in Saluda, North Carolina, licensed in North Carolina (2016-02352) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417081720
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA JACKSON BROYLESCredential: MD
Location Address1347 OZONE DR, SUITE 2Saluda, NC 28773-5506
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(828) 749-0149
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJanuary 26, 202343 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1417081720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2016-02352
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1347 OZONE DR, Saluda, NC 28773
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Jackson Broyles Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$49.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERYN ANNA LOWRIE LCSW
Social Worker (Clinical)
1347 OZONE DR, STE 2
SALUDA, NC 28773
Polk County (828) 749-0149
THERESA DAVIS FNP
Nurse Practitioner
1347 OZONE DR, SUITE 2
SALUDA, NC 28773
Polk County (828) 749-0149

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Broyles's NPI number?

The NPI number for Lisa Broyles is 1417081720. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Lisa Broyles located?

Lisa Broyles practices at 1347 Ozone Dr Suite 2, Saluda, NC 28773. The listed phone number is (828) 749-0149.

What is Lisa Broyles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Broyles enrolled in Medicare?

Yes. Lisa Broyles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Broyles was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.