Justin A Lyon, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9106192 Issued in FL

Practice address

6101 Pine Ridge Rd Ste 101
Naples, FL 34119-3900

NPI assigned

Oct 7, 2011

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulfcoast Spine Institute, LLCGroup PAC ID 0749226215, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justinlyon@nsapl.allscriptsdirect.net

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.

• Gulfcoast Spine Institute, LLC

  dba BioSpine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
  • NPI 1639132616
  Medicare reassignment Care Compare group
• Neuroscience and Spine Associates PL

  • Specialist
  • Naples, FL
  • NPI 1811177298
  Medicare reassignment NPD
• Neuroscience and Spine Associates

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1922578566
  NPD
• Neuroscience and Spine Associates PL

  • Neurology Physician
  • Naples, FL
  • NPI 1003115825
  NPD
• Neuroscience and Spine Associates PL

  • Orthopaedic Surgery Physician
  • Naples, FL
  • NPI 1023847563
  NPD
• Neuroscience and Spine Associates PL

  • Neurological Surgery Physician
  • Naples, FL
  • NPI 1114220845
  NPD
• PA Surgical Inc

  • Surgical Physician Assistant
  • Boca Raton, FL
  • NPI 1942313879
  NPD (past)
• Prohealth Select, Inc.

  • Nurse Practitioner
  • Boca Raton, FL
  • NPI 1417485053

  Physician Assistant

  NPD (past)
• Sypert Institute PA

  • Physical Medicine & Rehabilitation Physician
  • Bonita Springs, FL
  • NPI 1699960435
  NPD (past)

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

• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1477837524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "JUSTIN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lynch, RD, LDN, SENR
• Taylor Michael Lynch, MD
• Theresa Lynch, MS, OTRL
• Lynne Clausen, PH.D.
• Abby Lyon
• Erin E Lyristakis, LCSW
• M Dental Smile PA
• M Partners, LLC (Apex Spine and Pain)
• M. Adam, MD PA
• M&W Behavior Therapy LLC

• Surgical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.