Active NPI
Family Practice Immediate Care Associate Limited Liability Company
- Family Nurse Practitioner
- Covington, GA
National Provider Identifier
1598560443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FAMILY PRACTICE IMMEDIATE CARE ASSOCIATE LIMITED LIABILITY COMPANY
- Practice address
- 3812 Salem Rd
Covington, GA 30016-4528 - Phone
- (678) 625-5431
- Fax
- (678) 625-5455
- NPI assigned
- Feb 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Blanche Lyons, FNP
- Title
- Owner
- Phone
- (678) 558-2638
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3812 Salem Rd
Covington, GA 30016-4528
Mailing address
3812 Salem Rd
Covington, GA 30016-4528
Phone (678) 625-5431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2321197 | Family Practice Immediate Care Associate LLC | Certificate of waiver | Mar 31, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Covington, GA
- NPI 1831733088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1598560443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 SALEM RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300164528",
"telephone_number": "678-625-5431",
"fax_number": "678-625-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 SALEM RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300164528",
"telephone_number": "678-625-5431",
"fax_number": "678-625-5455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE IMMEDIATE CARE ASSOCIATE LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-14",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A",
"authorized_official_last_name": "LYONS",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "BLANCHE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-558-2638",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.