LYERLY BAPTIST INC (NPI# 1821313883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821313883 |
| Entity Type | Organization |
| Organization Name | LYERLY BAPTIST INC |
| Practice Address |
14546 Old Saint Augustine Rd Suite 301 Jacksonville FL 32258-5468 |
| Practice Telephone | 9042924049 |
| Practice Fax Number | 9042924805 |
| Mailing Telephone | 9042924049 |
| Mailing Fax Number | 9042924805 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |
| Authorized Official Name | EARL B MALLY (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9043764275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME81147 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336476795 | Lyerly Baptist Inc | Psychiatry & Neurology | 1370 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3230 | 2009-11-05 |
| 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 |
| 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 |
| Street Address |
14546 OLD SAINT AUGUSTINE RD SUITE 301 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154804 | Kyle G Corbin | Physical Therapist | 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 | 2005-06-14 |
| 1881208593 | Aaron Bailey | Registered Nurse | 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 | 2020-09-01 |
| 1801354675 | Morgen Rachel Fletcher | Physician Assistant | 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 | 2019-03-11 |
| 1467988246 | Fridah Kirimi | Nurse Practitioner | 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 | 2017-05-11 |
| 1275901878 | Paul David Provenzano | Physical Therapist | 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 | 2015-09-14 |
| 1992188825 | Julianne Bryce | Physical Therapist | 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 | 2015-07-09 |
| 1174954630 | Ashley B Burton | Social Worker | 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 | 2013-12-10 |
| 1376895888 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 | 2012-10-08 |
| 1245591114 | Amber Rose Schueler Whitehead | Massage Therapist | 14546 Old Saint Augustine Rd, Suite 403, Jacksonville, FL 32258-5468 | 2012-06-06 |
| 1790051845 | Baptist Cardiology, Inc. | Internal Medicine | 14546 Old Saint Augustine Rd, Suite 103, Jacksonville, FL 32258-5468 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285138495 | Yulia Salamatova | Psychiatry & Neurology | 580 W 8th St # T17, Jacksonville, FL 32209-6533 | 2018-03-21 |
| 1619471018 | William Joseph Scharpf | Psychiatry & Neurology | 653-1 West 8th Street, L18, 4th Floor, Lrc, Jacksonville, FL 32209 | 2018-03-20 |
| 1184155616 | Kyle Wuthrich | Psychiatry & Neurology | 580 W 8th St Fl 9, Jacksonville, FL 32209-6533 | 2017-03-26 |
| 1932511235 | Shannon Laboy | Psychiatry & Neurology | 580 W 8th St # T1-9t17, Jacksonville, FL 32209-6533 | 2014-05-21 |
| 1174933147 | Caitlin E D'souza | Psychiatry & Neurology | 14540 Old Saint Augustine Rd Ste 216, Jacksonville, FL 32258-7418 | 2014-04-30 |
| 1235416322 | Benjamin E Moore Md Pa | Psychiatry & Neurology | 2 Shircliff Way Ste 925, Jacksonville, FL 32204-4711 | 2011-11-03 |
| 1598995599 | Baptist Neurology Inc | Psychiatry & Neurology | 3563 Phillips Hwy Ste 106a, Jacksonville, FL 32207-5663 | 2009-07-24 |
| 1316104722 | Candice Waked Riggeal | Psychiatry & Neurology | 841 Prudential Dr 10th Floor, Jacksonville, FL 32207-8329 | 2008-05-22 |
| 1508089194 | James Gordon Creveling Jr | Psychiatry & Neurology | 7842 Monterey Bay Dr, Jacksonville, FL 32256-2936 | 2007-04-11 |
| 1053471987 | Mark K Emas | Psychiatry & Neurology | 4085 University Blvd South, # 3, Jacksonville, FL 32216 | 2006-12-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on LYERLY BAPTIST INC.
| 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.