ALFRED GORDON LYONS (NPI# 1932201423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932201423 |
| Entity Type | Individual |
| Full Name | ALFRED GORDON LYONS |
| Other Name | A. GORDON LYONS |
| Credential | M.D. |
| Practice Address |
970 Lakeland Dr 45 Jackson MS 39216-4635 |
| Mailing Address |
Po Box 23666 Jackson MS 39225-3666 |
| Practice Telephone | 6012004690 |
| Practice Fax Number | 6012004698 |
| Mailing Telephone | 6012004880 |
| Mailing Fax Number | 6012005929 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2016-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 10603 | MS | Other Service Providers |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
10603 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115787 | 05 | |
| MS | RAILROAD MEDICARE | P01237614 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013985548 | Alfred Lewis Lyons Jr. | Counselor | 501 Biltmore Ave, Suite G276.10, Asheville, NC 28801-4601 | 2006-03-10 |
| Street Address |
970 LAKELAND DR 45 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255303517 | St Dominic Ambulatory Surgery Center L L C | Clinic/Center | 970 Lakeland Dr, Suite 15, Jackson, MS 39216-4601 | 2006-02-02 |
| 1326689662 | Jessica M Tolar | Nurse Practitioner | 970 Lakeland Dr, Jackson, MS 39216-4635 | 2019-10-07 |
| 1861810889 | Radiation Oncology Associates of Mississippi | Radiology | 970 Lakeland Dr, Suite 34, Jackson, MS 39216-4635 | 2014-04-07 |
| 1124452859 | St Dominic Medical Associates LLC | Pain Medicine | 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4635 | 2013-08-29 |
| 1780988949 | Holly M Bridges | Nurse Practitioner | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4635 | 2011-01-03 |
| 1023249497 | Lynn Ann Vincent | Nurse Practitioner | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4635 | 2009-08-04 |
| 1578793220 | Valerie C Bailey | Nurse Practitioner | 970 Lakeland Dr, Jackson, MS 39216-4635 | 2009-07-15 |
| 1174757017 | St Dominic Medical Associates LLC | Otolaryngology | 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4635 | 2009-05-06 |
| 1578720231 | Angela Sterling | Nurse Practitioner | 970 Lakeland Dr, Suite 61, Jackson, MS 39216-4635 | 2008-05-20 |
| 1144491580 | Magnolia Woman's Clinic, P.a. | Obstetrics & Gynecology | 970 Lakeland Dr, Suite 43, Jackson, MS 39216-4635 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083194237 | Spectrum Pain Clinics Inc. | Pain Medicine | 23 Sandstone Cir, Jackson, TN 38305-2073 | 2018-08-17 |
| 1982141123 | W.a. Foote Memorial Hospital, Inc | Pain Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-26 |
| 1750789947 | Select Interventional Pain, PC | Pain Medicine | 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 | 2014-12-20 |
| 1124452859 | St Dominic Medical Associates LLC | Pain Medicine | 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4635 | 2013-08-29 |
| 1548522774 | Neuropathy and Pain Centers of America Holding Company, LLC | Pain Medicine | 300 W Washington Ave, Ste. 250, Jackson, MI 49201-2180 | 2012-06-13 |
| 1932334828 | Advanced Pain Treatment Centers, PC | Pain Medicine | 60 Lynoak Cv, Jackson, TN 38305-2800 | 2009-05-20 |
| 1003025412 | Dr. Jeff Summers Pa | Pain Medicine | 1 Layfair Dr, Ste400, Jackson, MS 39232-9717 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639317274 | Robert A Wiemer Jr. | Pain Medicine | 528-f Klondike Road, Long Beach, MS 39560 | 2009-02-03 |
| 1922218627 | Robert Fortier Bensen | Pain Medicine | 445 Security Sq, Gulfport, MS 39507-1922 | 2007-05-23 |
| 1811098874 | Laurel Pain Clinic Pa | Pain Medicine | 1706 W 12th St, Laurel, MS 39440-2559 | 2006-09-25 |
| 1922092881 | Eric Pearson | Pain Medicine | 1001 14th St, Meridian, MS 39301-4458 | 2005-09-07 |
| 1497752760 | Fani B Manney | Pain Medicine | #4 Doctors Dr, Suite C, Ocean Springs, MS 39564 | 2005-07-01 |
| 1417953050 | Steven Thomas Richey | Pain Medicine | 122 Airways Pl, Southaven, MS 38671-5872 | 2005-06-27 |
| 1316558893 | Mississippi Pain Management, Pllc | Pain Medicine | 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 | 2020-08-10 |
| 1083193031 | Bacas Interventional Pain Management, LLC | Pain Medicine | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2018-08-10 |
| 1356848014 | Flowood Pain Center, LLC | Pain Medicine | 120 Stone Creek Blvd Ste 500, Flowood, MS 39232-8210 | 2018-04-10 |
| 1134596760 | Pain Partners, LLC | Pain Medicine | 1001 14th St, Meridian, MS 39301-4458 | 2015-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALFRED GORDON LYONS.
| 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.