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

William Buckley Lyman, MD

Individual provider Surgery Physician · NPI 1104212711

William Buckley Lyman, MD is a Colorectal Surgery (Proctology) in Charlotte, North Carolina. Graduated from University of Tennessee, Hsc, College of Medicine in 2015, 11 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
11
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
NC, TN
In the registry since
2015
Specialties on file
3
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

10650 Park Rd
Charlotte, NC 28210-8538
Phone: (704) 667-0575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 65962 (TN)
Surgery Physician Taxonomy 208600000X · Licence 210170 (NC)
Surgery Physician Taxonomy 208600000X · Licence 65962 (TN)

Record details

NPI number1104212711
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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