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

Jonathan Douglas Lyday, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1487100491

Jonathan Douglas Lyday, AGPCNP is a Nurse Practitioner in Elkin, North Carolina. Qualified in 2016, 10 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
10
Licensed in
GA, NC
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

189 Samaritans Ridge Rd
Elkin, NC 28621-2472
Phone: (336) 526-3005
Fax: (336) 526-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1909 W Park Dr, North Wilkesboro, NC 28659-3564 — (336) 526-0132
  • Medical Center Blvd, Winston Salem, NC 27157-3564 — (336) 716-2255

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5009435 (NC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 5009435 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence RN224686 (GA)

Record details

NPI number1487100491
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elkin