NPIMap

Individual provider Active NPI

James Joseph Lyons, M.D.

  • Dermatopathology (Pathology) Physician
  • Dothan, AL
National Provider Identifier
1104096544
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
32386 Issued in AL
Practice address
1108 Ross Clark Cir
Pathology Department
Dothan, AL 36301-3022
Phone
(334) 793-8058
Fax
(334) 793-0070
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 32386 AL Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 32386 AL
Family Medicine Physician 207Q00000X 32386 AL

Addresses

Primary practice location

1108 Ross Clark Cir
Pathology Department
Dothan, AL 36301-3022

Mailing address

1108 Ross Clark Cir
Pathology Department
Dothan, AL 36301-3022
Phone (334) 793-8058

Other identifiers 1

IdentifierTypeStateIssuer
200942800MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130624000692 AL Practitioner - Family PracticePractitioner - Pathology 1759439565 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32386ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solstas Lab Partners, LLC Current Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Innovative Pathology Services PLLC Dermatopathology Current Accepting new patients
Houston County Healthcare Authority Family Medicine CurrentSince Nov 13, 2019 Accepting new patients
Pathology Laboratory Associates Anatomic Pathology & Clinical Pathology CurrentSince May 15, 2013 Accepting new patients
Houston County Healthcare Authority Family Medicine Current Accepting new patients
Southeast Alabama Medical Center Employee Pharmacy Past Accepting new patients
Innovative Pathology Services PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

415 Midland St
Ashford, AL 36312
Phone (334) 899-3363

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

2015 Alexander Dr
Dothan, AL 36301
Phone (334) 671-1696

5700 Southwyck Blvd
Toledo, OH 43614

501 19th St
Ste 301
Knoxville, TN 37916
Phone (865) 522-7591

Interoperability endpoints

  • Direct secure messaging: jlyons13494@southeasthealth.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1104096544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-793-8058",
            "fax_number": "334-793-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-793-8058",
            "fax_number": "334-793-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AL",
            "license": "32386",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "32386",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "32386",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200942800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.