LYERLY BAPTIST INC


Address: 1370 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3230
Phone: 9042491041

LYERLY BAPTIST INC (NPI# 1336476795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336476795
Entity Type Organization
Organization Name LYERLY BAPTIST INC
Practice Address 1370 13th Ave S
Suite 215
Jacksonville Beach
FL 32250-3230
Practice Telephone 9042491041
Practice Fax Number 9042499764
Mailing Telephone 9042491041
Mailing Fax Number 9042499764
Enumeration Date 2009-11-05
Last Update Date 2009-11-05
Authorized Official Name JOHN WILBANKS (CHIEF OPERATING OFFICER)
Authorized Official Telephone 9043764275
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821313883 Lyerly Baptist Inc Psychiatry & Neurology 14546 Old Saint Augustine Rd, Suite 301, Jacksonville, FL 32258-5468 2010-04-02
1740515006 Lyerly Baptist Inc Psychiatry & Neurology 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 2009-10-05
1962736413 Lyerly Baptist Inc Psychiatry & Neurology 2736 University Blvd W, Suite 3, Jacksonville, FL 32217-2179 2009-09-30
1851347801 Lyerly Baptist Inc Specialist 800 Prudential Dr, Tower B, 11th Floor, Jacksonville, FL 32207-8202 2006-05-25

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LYERLY BAPTIST INC 1325 San Marco Blvd Ste 9, Jacksonville, FL 32207-8568

Office Location

Street Address 1370 13TH AVE S
SUITE 215
City JACKSONVILLE BEACH
State FL
Zip Code 32250-3230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245608496 Southeastern Management, LLC Durable Medical Equipment & Medical Supplies 1370 13th Ave S, Suite 121, Jacksonville Beach, FL 32250-3230 2015-09-04
1891078234 Baptist Primary Care Inc Internal Medicine 1370 13th Ave S, Suite 216a, Jacksonville Beach, FL 32250-3230 2011-09-22
1104058874 Baptist Neurology Inc Psychiatry & Neurology 1370 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3230 2009-08-14
1699955617 Ammala Cantrell Family Medicine 1370 13th Ave S, Suite 216a, Jacksonville Beach, FL 32250-3230 2007-11-07
1891821146 Robert Davies Md Pa Urology 1370 13th Ave S, Ste 121, Jacksonville Beach, FL 32250-3230 2007-02-23
1861528101 Robert Davies Urology 1370 13th Ave S, Ste 121, Jacksonville Beach, FL 32250-3230 2007-02-23
1356458228 Oceanside Pediatrics Pediatrics 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 2006-08-24
1730296765 Ann Vonthron Pediatrics 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 2006-08-24
1891802815 Elena Model-rybakova Pediatrics 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 2006-08-24
1285741348 Barbara O'reilly Pediatrics 1370 13th Ave S, Ste. 216, Jacksonville Beach, FL 32250-3230 2006-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386129591 Kelsey Ilene Keimig Audiologist 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 2018-10-03
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1528578820 Dianne Frances Gay Dental Hygienist 1144 14th Street North, Jacksonville Beach, FL 32250 2017-10-02
1801324280 Kailo Nutrition Dietitian, Registered 353 B 6th Street South, Jacksonville, FL 32250 2017-05-30
1275985368 Shankeertha Sundaralingam Dentist 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 2016-07-13
1851777494 Brooke Worthington Davidson Audiologist 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 2015-08-05
1689059115 Jenna Levine Speech-Language Pathologist 779 10th Avenue South, Jacksonville Beach, FL 32250 2015-07-27
1790176824 Olivia Ingram Caswell Acupuncturist 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 2015-02-11
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801076112 Stephen T. Hickey, M.d., P.a. Psychiatry & Neurology 335 11th Ave N, Jacksonville Beach, FL 32250-7251 2007-11-05
1104863042 Neurology Associates of North Florida, Inc Psychiatry & Neurology 1361 13th Ave S Ste 170a, Jacksonville Beach, FL 32250-3235 2006-05-31
1750378311 Thomas M Snyder Psychiatry & Neurology 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 2005-09-29
1104058874 Baptist Neurology Inc Psychiatry & Neurology 1370 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3230 2009-08-14
1326282153 Warren V Carrigan Psychiatry & Neurology 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 2009-04-23
1245227800 Richard J Boehme Psychiatry & Neurology 1361 13th Ave S, Ste-170a, Jacksonville Beach, FL 32250-3233 2005-09-29
1043207657 Christopher Potter Psychiatry & Neurology 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 2005-09-29
1255328860 Karen K Thalinger Psychiatry & Neurology 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 2005-09-29

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Competitor

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City JACKSONVILLE BEACH
Zip Code 32250

Improve Information

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Dataset Information

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.

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