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

Q: What is Jonathan Lyday's NPI number?

The NPI number for Jonathan Lyday is 1487100491. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Jonathan Lyday's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Lyday was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: November 01, 2026.

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

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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

Phone(336) 526-3005

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jonathan Lyday reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC

Same address

Cardiovascular Disease

189 SAMARITANS RIDGE RD
Elkin, NC 28621

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1457073389 (336) 526-3005

Forsyth Memorial Hospital, Inc

Same address

Hematology & Oncology

505 SAMARITANS RIDGE CT
Elkin, NC 28621

Reassigned Medicare billing, North Carolina enrollment
1,202 clinicians in this Medicare group

NPI 1871802157 (336) 527-1510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 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 7

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

PHILIP JAMES IULIANO M.D.

Internal Medicine (Cardiovascular Disease)