Individual provider Active NPI

George A Lyrene, MD

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1558314419
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7362 Issued in AL
Practice address
600 Saint Clair Ave SW
Building 3
Huntsville, AL 35801-5008
Phone
(256) 536-4700
Fax
(256) 536-4117
NPI assigned
May 19, 2006
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7362 AL Primary

Addresses

Primary practice location

600 Saint Clair Ave SW
Building 3
Huntsville, AL 35801-5008

Mailing address

600 Saint Clair Ave SW
Building 3
Huntsville, AL 35801-5008
Phone (256) 536-4700

Other identifiers 3

IdentifierTypeStateIssuer
503214OtherALUNITED HEALTHCARE
138174MedicaidAL
51125632OtherALBLUE CROSS/BLUE SHIELD OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7362ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Internal Medicine, PC Internal Medicine CurrentSince Nov 16, 2007 Accepting new patients

Locations

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1558314419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW",
            "address_2": "BUILDING 3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015008",
            "telephone_number": "256-536-4700",
            "fax_number": "256-536-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW",
            "address_2": "BUILDING 3",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015008",
            "telephone_number": "256-536-4700",
            "fax_number": "256-536-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYRENE",
        "first_name": "GEORGE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "7362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "503214",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138174",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF ALABAMA",
            "identifier": "51125632",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.