Active NPI
Deborah Lyon, M.D.
- Obstetrics & Gynecology Physician
- Ft Stewart, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME72401
- Practice address
- 1061 Harmon Ave Ste 1D03
Winn Army Community Hospital
Ft Stewart, GA 31314-5674 - Phone
- (912) 435-5965
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME72401 | FL | Primary |
Addresses
Primary practice location
1061 Harmon Ave Ste 1D03
Winn Army Community Hospital
Ft Stewart, GA 31314-5674
Mailing address
1061 Harmon Ave Ste 1D03
Winn Army Community Hospital
Ft Stewart, GA 31314-5674
Phone (912) 435-5965
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000665893C | Medicaid | GA | |
| 2501911-00 | Medicaid | FL | |
| 160030994 | Other | FL | RAILROAD MEDICARE |
| 31455 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 University S Blvd
Jacksonville, FL 32216-4207
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME72401 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagler OB GYN PA | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Memorial Family Practice Associates, LLC | Past | Accepting new patients | |
| Juan Larroude MD PA | Past | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3100 US Highway 1 S
Ste 1
Saint Augustine, FL 32086
Phone (904) 797-2777
Organizations & group practices 6
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.
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- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Gynecology Physician
- St Augustine, FL
- NPI 1205972460
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1598869844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1528034832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE STE 1D03",
"address_2": "WINN ARMY COMMUNITY HOSPITAL",
"city": "FT STEWART",
"state": "GA",
"postal_code": "313145674",
"telephone_number": "912-435-5965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE STE 1D03",
"address_2": "WINN ARMY COMMUNITY HOSPITAL",
"city": "FT STEWART",
"state": "GA",
"postal_code": "313145674",
"telephone_number": "912-435-5965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME72401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000665893C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2501911-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160030994",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31455",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.