NPIMap

Individual provider Active NPI

Martin Anthony Lyons Jr., MD

  • Family Medicine Physician
  • Wetumpka, AL
National Provider Identifier
1356640379
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30815 Issued in AL
Practice address
41 Cambridge CT
Wetumpka, AL 36093-1261
Phone
(334) 567-3309
Fax
(334) 567-5692
NPI assigned
Mar 16, 2011
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30815 AL Primary

Addresses

Primary practice location

41 Cambridge CT
Wetumpka, AL 36093-1261

Mailing address

41 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-3309

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
I20111205000275 AL Practitioner - Family Practice 8325213226 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Family Medicine, LLCGroup PAC ID 2163853151, 56 clinicians

Practice addresses (Care Compare)

277 Huntress St
Suite 100
Wetumpka, AL 36092-3342
Phone (334) 567-3309

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30815ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wetumpka Urgent Care LLC CurrentSince Jul 1, 2012 Accepting new patients
Enterprise Urgent Care CurrentSince Aug 1, 2016 Accepting new patients
Chilton Family Care, LLC Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Ivycreek of Elmore LLC CurrentSince Oct 24, 2015 Accepting new patients
Ivy Creek of Elmore, LLC Family Medicine CurrentSince Oct 24, 2015 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542

277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Interoperability endpoints

  • Direct secure messaging: martin.lyons@riverfam.direct.medconnect-inc.com

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1356640379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CAMBRIDGE CT",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931261",
            "telephone_number": "334-567-3309",
            "fax_number": "334-567-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CAMBRIDGE CT",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360931261",
            "telephone_number": "334-567-3309",
            "fax_number": "334-567-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MARTIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "30815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

Verify at the official NPI Registry.