Individual provider Active NPI

Kyle Lemond, MD

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1609303015
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01083198A Issued in IN
Practice address
1000 S Green River Rd
Evansville, IN 47715-6802
Phone
(812) 450-8751
Fax
(812) 401-2072
NPI assigned
May 16, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 081801 GA
Family Medicine Physician 207Q00000X 01083198A IN Primary

Addresses

Primary practice location

1000 S Green River Rd
Evansville, IN 47715-6802

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815

Other practice location 1

304 Shorter Ave NW Ste 201
Rome, GA 30165-4256
Phone (706) 509-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190429001346 GA Practitioner - Family Practice 7214279975 Reassigns benefits to 1 organization
I20200630000508 IN Practitioner - Family Practice 7214279975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

1000 S Green River Rd
Deaconess Clinic S Green River
Evansville, IN 47715-6802
Phone (812) 450-8751

81 Northside Dawson Dr
Suite 100
Dawsonville, GA 30534-7166
Phone (706) 216-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081801GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince May 1, 2026 Accepting new patients
Deaconess Specialty Physicians, Inc Multi-Specialty Current Accepting new patients
Deaconess Specialty Physicians Inc Multi-Specialty CurrentSince May 6, 2024 Accepting new patients
Deaconess Clinic Inc Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Deaconess Clinic, Inc Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Deaconess Clinic Inc. Multi-Specialty Current Accepting new patients
Deaconess Specialty Physicians Inc Multi-Specialty CurrentSince May 6, 2024 Accepting new patients
Northside Primary Care Professional Services,LLC Multi-Specialty CurrentSince May 1, 2026 Accepting new patients
Deaconess Clinic, Inc Multi-Specialty Past Accepting new patients

Locations

81 Northside Dawson Dr
Ste 100
Dawsonville, GA 30534
Phone (706) 216-6000

1000 S Green River Rd
Evansville, IN 47715
Phone (812) 450-8751

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: klemond120316@direct.deaconess.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609303015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S GREEN RIVER RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156802",
            "telephone_number": "812-450-8751",
            "fax_number": "812-401-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Shorter Ave NW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301654256",
            "country_code": "US",
            "telephone_number": "706-509-3300",
            "fax_number": "706-292-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMOND",
        "first_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "081801",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01083198A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.