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JOHNNIE LYLES M.D., M.B.A.
NPI 1841491370
General Practice in Charlotte, NC

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
2908 OAK LAKE BLVD, SUITE 205, CHARLOTTE, NC 28208(704) 567-8233 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnnie Lyles M.d., M.b.a. NPPES

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

JOHNNIE LYLES M.D., M.B.A. (NPI 1841491370) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (2009-00568) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).

NPPES Registry Identity

NPI1841491370
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOHNNIE LYLESCredential: M.D., M.B.A.
Location Address2908 OAK LAKE BLVD, SUITE 205Charlotte, NC 28208-7703
Mailing Address2908 Oak Lake Blvd, Suite 205Charlotte, NC 28208-7703 · (704) 567-8233
Phone(704) 567-8233
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006
Enumeration DateMay 31, 2007
Last NPPES UpdateJune 17, 2016
✔ NPI 1841491370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 2009-00568
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 2009-00568 (NC)
2908 OAK LAKE BLVD, Charlotte, NC 28208
Open in Google Maps ↗

Other Identifiers 9

Other1841491370NC · Bcbsnc
Medicaid1841491370NC
Other1841491370NC · Medcost
Other1841491370NC · Healthnet/tricare
Other7014253NC · Cigna
Medicare PINNCF560ANC
Other1841491370NC · Aetna
Other1841491370NC · Coventry/wellpath
Other1841491370NC · United Health Care

Accepted Insurance

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

Johnnie Lyles M.d., M.b.a. 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 ID4981831823
PECOS Enrollment IDI20131220000696
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.

Other Providers at the Same Location NPPES

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

CAREFIRST MEDICAL ASSOCIATES, PC
Clinic/Center
2908 OAK LAKE BLVD, SUITE 205
CHARLOTTE, NC 28208
Mecklenburg County (704) 567-8233

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 Johnnie Lyles's NPI number?

The NPI number for Johnnie Lyles is 1841491370. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Johnnie Lyles located?

Johnnie Lyles practices at 2908 Oak Lake Blvd Suite 205, Charlotte, NC 28208. The listed phone number is (704) 567-8233.

What is Johnnie Lyles's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Johnnie Lyles enrolled in Medicare?

Yes. Johnnie Lyles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johnnie Lyles accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Johnnie Lyles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnnie Lyles was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.