Individual provider Active NPI

Ralph Cornell Lyons, M.D.

  • Gastroenterology Physician
  • Riverdale, GA
National Provider Identifier
1740379866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
025217 Issued in GA
Practice address
34 Upper Riverdale Rd
Suite 201
Riverdale, GA 30274-2635
Phone
(678) 904-0094
Fax
(678) 904-0098
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 025217 GA Primary

Addresses

Primary practice location

34 Upper Riverdale Rd
Suite 201
Riverdale, GA 30274-2635

Mailing address

34 Upper Riverdale Rd SE
Suite 201
Riverdale, GA 30274-2635
Phone (678) 904-0094

Other identifiers 1

IdentifierTypeStateIssuer
00307194BMedicaidGA

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
I20111207000634 GA Practitioner - Gastroenterology 6800848862 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Perelman School of Med at the University of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga Clinical Services, LLCGroup PAC ID 7719273838, 35 clinicians
Morehouse Healthcare, Inc.Group PAC ID 6002701273, 155 clinicians

Practice addresses (Care Compare)

34 Upper Riverdale Rd SE
Suite 201
Riverdale, GA 30274-2635
Phone (678) 904-0094

455 Lee St SW
Atlanta, GA 30310-1408
Phone (404) 752-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.05 of 100Reported as group
Quality
39.8
Promoting interoperability
98
Improvement activities
40
Cost
82.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025217GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta South Gastroenterology P.C. Gastroenterology CurrentSince Jul 1, 1989 Accepting new patients
Morehouse Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Aga, LLC Gastroenterology CurrentSince Jul 1, 2016 Accepting new patients
Atlanta South Endoscopy Center LLC Current Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

550 Peachtree St NE
Ste 1660
Atlanta, GA 30308
Phone (404) 253-6820

218 Hospital Dr
#C
Blairsville, GA 30512
Phone (706) 400-5668

1501 Milstead Rd NE
Ste 120
Conyers, GA 30012
Phone (678) 745-3033

1136 Cleveland Ave
Ste 608
East Point, GA 30344
Phone (404) 763-1606

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

1260 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (770) 486-7000

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342

150 N Park Trl
#B
Stockbridge, GA 30281
Phone (770) 507-0909

Interoperability endpoints

  • Direct secure messaging: ralph.lyons@ud.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740379866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 UPPER RIVERDALE RD SE",
            "address_2": "SUITE 201",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742635",
            "telephone_number": "678-904-0094",
            "fax_number": "678-904-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 UPPER RIVERDALE RD",
            "address_2": "SUITE 201",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742635",
            "telephone_number": "678-904-0094",
            "fax_number": "678-904-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "RALPH",
        "middle_name": "CORNELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "025217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00307194B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.