Organization Active NPI

Lyons Family Practice

  • Family Medicine Physician
  • Lyons, GA
National Provider Identifier
1306004437
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LYONS FAMILY PRACTICE
Practice address
113 Moody Cir
Lyons, GA 30436-1428
Phone
(912) 526-0073
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. John Milton Moody, M.D.
Title
Owner
Phone
(912) 526-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

113 Moody Cir
Lyons, GA 30436-1428

Mailing address

113 Moody Cir
Lyons, GA 30436-1428
Phone (912) 526-0073

National Provider Directory

National Provider Directory

Locations

113 Moody Cir
Lyons, GA 30436
Phone (912) 526-0073

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1306004437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MOODY CIR",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304361428",
            "telephone_number": "912-526-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MOODY CIR",
            "city": "LYONS",
            "state": "GA",
            "postal_code": "304361428",
            "telephone_number": "912-526-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-526-0073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.