Individual provider Active NPI

Lelan Clinton Byrd, M.D.

  • Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1558510453
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30026 Issued in GA
Practice address
3633 Wheeler Rd Ste 365
Augusta, GA 30909-6549
Phone
(706) 432-6866
NPI assigned
Sep 16, 2008
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30026 GA Primary

Addresses

Primary practice location

3633 Wheeler Rd Ste 365
Augusta, GA 30909-6549

Mailing address

1120 15TH St
Or 6000
Augusta, GA 30912-0004
Phone (706) 721-3183

Other practice location 1

840 Fleming St
Ste 1
Hendersonville, NC 28791
Phone (828) 698-0581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228002050 GA Practitioner - Addiction Medicine 4789075888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

3633 Wheeler Rd
Suite 365
Augusta, GA 30909-6544
Phone (706) 432-6866

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17033NCMDPharmacist
30026GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Sep 23, 2021 Accepting new patients
Au Medical Associates Inc CurrentSince Sep 23, 2021 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
Resolution Counseling Professionals PastSince Apr 27, 2025 Accepting new patients
Good Landing Recovery Detox and Residential. LLC Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

3633 Wheeler Rd
Ste 365
Augusta, GA 30909
Phone (706) 432-6866

997 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 721-3141

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.lelanbyrd@124220.advancedmd-direct.com

Organizations & group practices 5

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1558510453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "address_2": "OR 6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 WHEELER RD STE 365",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096549",
            "telephone_number": "706-432-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Fleming St",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "28791",
            "country_code": "US",
            "telephone_number": "828-698-0581",
            "fax_number": "828-698-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LELAN",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "30026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.