Active NPI
George A Lyrene, MD
- Internal Medicine Physician
- Huntsville, AL
National Provider Identifier
1558314419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 7362
- 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, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503214 | Other | AL | UNITED HEALTHCARE |
| 138174 | Medicaid | AL | |
| 51125632 | Other | AL | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7362 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Internal Medicine, PC | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Cullman, AL
- NPI 1619920519
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.