MEDICARE: DR. JOHN LANIER RICE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	9601045	NC
2	2084P0800X	Psychiatry Physician	9601045	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P01285776	OTHER	NC	MEDCIARE RR

General Provider Information

NPI Number	:	1134105612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN LANIER RICE M.D.

Provider Business Mailing Address
First Line	:	800 N JUSTICE ST
Second Line	:
City	:	HENDERSONVILLE
State	:	NC
Zip	:	28791-3410
Country	:	US
Telephone Number	:	828-694-8350
Fax Number	:	828-694-7654

Provider Business Practice Location Address
First Line	:	277 N BROAD ST
Second Line	:
City	:	BREVARD
State	:	NC
Zip	:	28712-3347
Country	:	US
Telephone Number	:	828-435-8392
Fax Number	:	828-435-8393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	02/06/2026

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