NPI Code Detail JSON Logo

1235925231 NPI number — LYERLY BAPTIST INC

NPI Number: 1235925231
Health Care Provider/Practitioner: LYERLY BAPTIST INC

Information about “1235925231” NPI (LYERLY BAPTIST INC) exists in 1235925231 in HTML format HTML  |  1235925231 in plain Text format TXT  |  1235925231 in PDF (Portable Document Format) PDF  |  1235925231 in an XML format XML  formats.

NPI Number : 1235925231 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235925231",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LYERLY BAPTIST INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 746647",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30374-6647",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-202-2092",
    "MailingAddressFaxNumber": "904-376-4075",
    "FirstLinePracticeLocationAddress": "1235 SAN MARCO BLVD STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32207-8554",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-202-6683",
    "PracticeLocationAddressFaxNumber": "904-376-3062",
    "EnumerationDate": "04/16/2025",
    "LastUpdateDate": "11/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOLLOWAY",
    "AuthorizedOfficialFirstName": "CATHERINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "904-202-5378",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RS0010X",
        "TaxonomyName": "Sports Medicine (Internal Medicine) Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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