Active NPI
Alexander L Lyons, CPO
- Specialist
- Conway, SC
National Provider Identifier
1174511638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 123 Waccamaw Medical Park Dr
Conway, SC 29526-8902 - Phone
- (843) 347-5800
- Fax
- (843) 347-7469
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
123 Waccamaw Medical Park Dr
Conway, SC 29526-8902
Mailing address
4728 Jenn Dr
Suite 106
Myrtle Beach, SC 29577-5714
Phone (843) 839-9202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyons Prosthetics & Orthotics, Inc. | Current | Accepting new patients | |
| Dunes Cosmetic Surgery LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Prosthetist
- Conway, SC
- NPI 1821077306
-
- Specialist
- Myrtle Beach, SC
- NPI 1538148606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174511638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4728 JENN DR",
"address_2": "SUITE 106",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775714",
"telephone_number": "843-839-9202",
"fax_number": "843-467-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 WACCAMAW MEDICAL PARK DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268902",
"telephone_number": "843-347-5800",
"fax_number": "843-347-7469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "ALEXANDER",
"middle_name": "L",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.