Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lysle Kennedy Ailstock, MD

Individual provider Body Imaging Physician · NPI 1912989898

Dr. Lysle Kennedy Ailstock, MD is a Diagnostic Radiology in Greenville, North Carolina. Graduated from Virginia Commonwealth University, School of Medicine in 1991, 35 years ago. Practices with Eastern Radiologists Inc, a 96-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
35
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
NC
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758
Phone: (252) 752-5000
Fax: (252) 931-7694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence 9600437 (NC)

Record details

NPI number1912989898
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Eastern Radiologists Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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