Bridget Ann Lyons, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN015027 Issued in GA

Practice address

2090 Dunwoody Club Dr
Suite 105
Sandy Springs, GA 30350-5434

Phone

(770) 998-0111

NPI assigned

Jul 14, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jett Ferry Dental Group, PC

  • General Practice Dentistry
  • Sandy Springs, GA
  • NPI 1902225592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1013391531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 PONCE DE LEON PL NE",
            "address_2": "APT 516",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064158",
            "telephone_number": "706-339-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 DUNWOODY CLUB DR",
            "address_2": "SUITE 105",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303505434",
            "telephone_number": "770-998-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "BRIDGET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lupas
• Aliceia Lyles-Edwards, LPC
• Amber Lynch, OIT
• Eimear Lynch
• Kayla Lynn-Terry
• Mac Therapy Services, LLC
• Christi Macaluso
• Joy Mack
• Sallie Mack, PHD
• Cherish Mackey, BS

• Dentist in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.