Individual provider

William Lyman, M.D.

Colon & Rectal Surgery Physician Surgery Physician Medicare enrolled

William Lyman, M.D. is a Colon & Rectal Surgery Physician in Charlotte, NC, registered under NPI 1104212711. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 10650 PARK RD, Charlotte, NC 28210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10650 PARK RD, Charlotte, NC 28210 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
65962 TN Colon & Rectal Surgery Physician primary
210170 NC Surgery Physician
65962 TN Surgery Physician

Licences are recorded in 2 states: TN, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Colorectal Surgery (proctology)
PAC ID
2466857669
Enrollment ID
I20241114000869

Medicare enrolment is recorded as approved under the provider type Practitioner - Colorectal Surgery (proctology). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: North Carolina and Tennessee. The practice address on file is in Charlotte, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina practice address
Licence
210170
Specialty
Surgery Physician
Verify with the NC board →
TN Tennessee
Licence
65962
Specialty
Colon & Rectal Surgery Physician
Verify with the TN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Colon & Rectal Surgery covers

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NUCC Health Care Provider Taxonomy, code 208C00000X
Allopathic & Osteopathic Physicians Colon & Rectal Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208C00000X Colon & Rectal Surgery Physician 65962 TN primary
208600000X Surgery Physician 210170 NC
208600000X Surgery Physician 65962 TN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104212711 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 9, 2015
Last updatedJul 24, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 10650 PARK RD
Charlotte, NC 28210
(704) 667-0575
Other identifiers 65962 · Other (TN)
This record was updated on Jul 24, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104212711 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 1 2 7 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 1 4 7 2

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104212711?
NPI 1104212711 is the National Provider Identifier assigned to William Lyman, M.D. in Charlotte, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Colon & Rectal Surgery Physician cover?
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary…
How do I contact William Lyman, M.D.?
The phone number on file with NPPES is (704) 667-0575, last updated Jul 24, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does William Lyman, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104212711 a valid number?
Yes. 1104212711 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.