KENT J. LYON (NPI# 1063476364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063476364 |
| Entity Type | Individual |
| Full Name | KENT J. LYON |
| Credential | MD |
| Practice Address |
700 Sunset Dr Ste 601 Athens GA 30606-7720 |
| Practice Telephone | 7065494155 |
| Practice Fax Number | 7065460036 |
| Mailing Telephone | 7065494155 |
| Mailing Fax Number | 7065460036 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME122457 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014539800 | 05 | |
| FL | BCBS | 10033 | 01 |
| FL | TRICARE | 1063476364 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 N Clyde Morris Blvd, Daytona Beach, FL 321142733 | 3862383200 | 3862383216 |
| 700 Sunset Dr Ste 601, Athens, GA 306067720 | 7065494155 | 7065460036 |
| Street Address |
700 SUNSET DR STE 601 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962052167 | Caap Medical Group | Internal Medicine | 700 Sunset Dr Ste 601, Athens, GA 30606-7720 | 2019-09-19 |
| 1356587620 | John F. Elder Md PC | Obstetrics & Gynecology | 700 Sunset Dr Ste 601, Athens, GA 30606-7720 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720493190 | Yuanjie Mao | Internal Medicine | 75 Hospital Dr Ste 200, Athens, OH 45701-2859 | 2014-06-24 |
| 1487882056 | Jeremy R Anthony | Internal Medicine | 2470 Daniels Bridge Rd Ste 221, Athens, GA 30606-6188 | 2009-06-23 |
| 1487865952 | Athens Diabetes and Endocrinology | Internal Medicine | 3320 Old Jefferson Rd Ste 600, Athens, GA 30607-1463 | 2007-05-25 |
| 1962052167 | Caap Medical Group | Internal Medicine | 700 Sunset Dr Ste 601, Athens, GA 30606-7720 | 2019-09-19 |
| 1689057234 | St. Mary's Medical Group, Inc. | Internal Medicine | 2470 Daniels Bridge Rd, Bldg 200 Suite 221, Athens, GA 30606-6187 | 2015-07-01 |
| 1366887861 | Keisha Bonhomme | Internal Medicine | 1270 Prince Ave Ste 201, Athens, GA 30606 | 2013-05-10 |
| 1396079737 | Carlos Cossio Md PC | Internal Medicine | 1077 Baxter St, Suite K, Athens, GA 30606-3767 | 2009-10-01 |
| 1669537197 | Peter Frandsen Vandyck | Internal Medicine | 3320 Old Jefferson Rd, Building 600, Athens, GA 30607-1400 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606847 | Ann W Edmundson | Internal Medicine | 15685 Rowe Rd, Milton, GA 30004-2628 | 2019-08-28 |
| 1831758846 | Diabetes and Endocrinology Associates East | Internal Medicine | 1380 Milstead Ave Ne Ste H, Conyers, GA 30012-3864 | 2019-06-12 |
| 1629453428 | Ghada Mohamed Sami Ahmed K Elshimy | Internal Medicine | 1120 15th St # Hb-5025, Augusta, GA 30912-0004 | 2015-07-22 |
| 1639552920 | Shahzeena Hafeez | Internal Medicine | 550 W Peachtree St Nw, Atlanta, GA 30308 | 2015-07-03 |
| 1295122745 | Thaer Idrees | Internal Medicine | 69 Jesse Hill Jr Dr Se Ste 200, Atlanta, GA 30303-3033 | 2015-04-22 |
| 1386056372 | Camille Frances Stanback | Internal Medicine | 550 Peachtree St Ne Ste 1950, Atlanta, GA 30308-2247 | 2014-05-23 |
| 1518377654 | John Gregory Zora | Internal Medicine | 975 Johnson Ferry Rd Ste 400, Atlanta, GA 30342-4736 | 2014-04-29 |
| 1538588249 | Wedad Rahman | Internal Medicine | 1301 Sigman Rd Ne Ste 280, Conyers, GA 30012-3947 | 2014-04-09 |
| 1427493709 | Senior Medical Systems, LLC | Internal Medicine | 220 Hills Creek Rd, Taylorsville, GA 30178-2068 | 2013-05-01 |
| 1437411592 | David Antonio Reyes Umpierrez | Internal Medicine | 550 Peachtree St Ne Fl Mot19, Atlanta, GA 30308-2247 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.