Nicole Alicia Lytle, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3771 Issued in GA

Practice address

1199 Prince Ave
Athens, GA 30606-2797

Phone

(478) 464-8134

NPI assigned

Mar 8, 2007

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Alicia Toraya Other name

Medicare fee-for-service enrollment

Enrolled in GA, WV2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Piedmont Athens Hospitalist Physicians LLCGroup PAC ID 6305196411, 174 clinicians

Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Columbus Ambulatory Healthcare Services, Inc.Group PAC ID 1355244385, 157 clinicians

Westbrook Health Services IncGroup PAC ID 3375443054, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.62 of 100Reported as apm

Quality

83.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1790733244
  Medicare reassignment Care Compare group NPD
• Westbrook Health Services, Inc.

  • Community/Behavioral Health Agency
  • Parkersburg, WV
  • NPI 1952357568
  Medicare reassignment Care Compare group NPD (past)
• Piedmont Athens Hospitalist Physicians LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1578079000
  Medicare reassignment Care Compare group
• Piedmont Hospitalist Physicians LLC

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1548219660
  Medicare reassignment Care Compare group
• Baldwin Emergency Group, LLC

  • Emergency Medicine Physician
  • Milledgeville, GA
  • NPI 1306206826
  Medicare reassignment
• Central Georgia Emergency Group, LLC

  • Emergency Medicine Physician
  • Macon, GA
  • NPI 1598126641
  Medicare reassignment
• Urology Specialists of Georgia

  • Urology Physician
  • Macon, GA
  • NPI 1699786590
  Medicare reassignment
• Westbrook Health Services, Inc

  • Community/Behavioral Health Agency
  • Parkersburg, WV
  • NPI 1568889525
  NPD
• Cornerstone Medical Assoc., LLC

  • Pediatrics Physician
  • Perry, GA
  • NPI 1275575888
  NPD (past)
• Gastroenterology Associates of Central Ga, LLC

  • Specialist
  • Macon, GA
  • NPI 1528192176
  NPD (past)
• Pediatric Care After Hours

  • Pediatrics Physician
  • Warner Robins, GA
  • NPI 1619155751
  NPD (past)
• Piedmont Athens Specialty Care LLC

  • Cardiovascular Disease Physician
  • Athens, GA
  • NPI 1184130627
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1174654651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 SAINT MARLO DR",
            "city": "CENTERVILLE",
            "state": "GA",
            "postal_code": "310288005",
            "telephone_number": "478-953-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "478-464-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S Houston Rd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310883904",
            "country_code": "US",
            "telephone_number": "478-923-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "NICOLE",
        "middle_name": "ALICIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "3771",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "3771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "TORAYA",
            "middle_name": "ALICIA",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hugh Lynch IV, R.PH.
• Stephanie Klein Lynch, MD
• Kent J. Lyon, MD
• Kathleen Lyons, RN
• Jessica Lyster, PA-C
• Samer Amid Maalouf, M.D.
• Cullen Macdonald, LPC
• Elisse Mackay, DMD
• Rene Benjamin Mackay, M.D.
• Jennifer Madeo, DO

• Physician Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.