Individual provider Active NPI

Ebonee R Lyons, DNP, FNP-BC

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1114226818
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-106288 Issued in AL
Practice address
5511 Highway 280 Ste 223
Birmingham, AL 35242-1504
Phone
(205) 774-0309
NPI assigned
Mar 21, 2011
Reactivated
Feb 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-106288 AL Primary

Addresses

Primary practice location

5511 Highway 280 Ste 223
Birmingham, AL 35242-1504

Mailing address

5511 Highway 280 Ste 223
Birmingham, AL 35242-1504
Phone (205) 774-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520000256 AL Practitioner - Nurse Practitioner 7315267069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lyons and Associates Family Care, PLLCGroup PAC ID 4486064292, 2 clinicians

Practice addresses (Care Compare)

5511 US Hwy
Suite 223
Birmingham, AL 35242-1504
Phone (205) 774-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc CurrentSince Mar 1, 2017 Accepting new patients
Franklin Primary Health Center Inc. Current Accepting new patients
Franklin Primary Health Center, Inc CurrentSince Mar 1, 2017 Accepting new patients
Lyons & Associates Family Care, PLLC Family CurrentSince May 1, 2020 Accepting new patients
Premier Allergist of Florida LLC Past Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

5511 Highway 280
Ste 223
Birmingham, AL 35242
Phone (205) 774-0309

1 Independence Plz
Ste 414
Homewood, AL 35209
Phone (205) 517-7375

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20374/brand/1/csg/1/fhir/r4

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1114226818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 HIGHWAY 280 STE 223",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421504",
            "telephone_number": "205-774-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 HIGHWAY 280 STE 223",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352421504",
            "telephone_number": "205-774-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "EBONEE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-03",
        "deactivation_date": "2018-02-03",
        "reactivation_date": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-106288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.