JONATHAN DOUGLAS LYDAY AGPCNP
NPI 1487100491
Nurse Practitioner in Elkin, NC

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
189 SAMARITANS RIDGE RD, ELKIN, NC 28621(336) 526-3005(336) 526-3011 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2024, Oct 16, 2023, Nov 21, 2017 and 1 more (4 updates tracked since 2016).

About Jonathan Douglas Lyday Agpcnp NPPES

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

JONATHAN DOUGLAS LYDAY AGPCNP (NPI 1487100491) is an individual nurse practitioner in Elkin, North Carolina, licensed in North Carolina (5009435) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487100491
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJONATHAN DOUGLAS LYDAYCredential: AGPCNP
Location Address189 SAMARITANS RIDGE RDElkin, NC 28621-2472
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 526-3005 · Fax (336) 526-3011
Fax(336) 526-3011
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 30, 2016
Last NPPES UpdateAugust 7, 20244 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1487100491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in NC · 5009435 Licensed in GA · RN224686
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5009435 (NC)
189 SAMARITANS RIDGE RD, Elkin, NC 28621

Secondary Practice Locations 2

Location 1Medical Center BlvdWinston Salem, NC 27157-3564 · Phone (336) 716-2255
Location 21909 W Park DrNorth Wilkesboro, NC 28659-3564 · Phone (336) 526-0132

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Douglas Lyday Agpcnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345518247
PECOS Enrollment IDI20170619000792
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
383 services239 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
91 services83 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
64 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Hugh Chatham Memorial Hospital

Acute Care Hospitals · Elkin, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340097
Location180 Parkwood DrElkin, NC 28621 · Surry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28621 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.

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
189 SAMARITANS RIDGE RD
ELKIN, NC 28621
Chiropractor
189 SAMARITANS RIDGE RD
ELKIN, NC 28621
Psychologist
189 SAMARITANS RIDGE RD
ELKIN, NC 28621
Internal Medicine (Cardiovascular Disease)
189 SAMARITANS RIDGE RD
ELKIN, NC 28621
Nurse Practitioner
189 SAMARITANS RIDGE RD
ELKIN, NC 28621
Internal Medicine (Cardiovascular Disease)
189 SAMARITANS RIDGE RD
ELKIN, NC 28621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487100491, enumerated as an "individual" on August 30, 2016.

The provider is located at 189 SAMARITANS RIDGE RD ELKIN, NC 28621 and the phone number is (336) 526-3005.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: AmeriHealth Caritas Next and Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.

Jonathan Lyday is affiliated with: NOVANT HEALTH FORSYTH MEDICAL CENTER and HUGH CHATHAM MEMORIAL HOSPITAL.