Organization Active NPI

Lyles and Crawford

  • Psychiatry Physician
  • Roswell, GA
National Provider Identifier
1760666762
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
29032 Issued in GA
Legal business name
LYLES AND CRAWFORD
Practice address
11111 Houze Rd
Suite 320
Roswell, GA 30076-5663
Phone
(770) 993-0051
Fax
(770) 993-0052
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Mrs. Kim McMillian
Title
Administrator
Phone
(770) 993-0051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 29032 GA Primary

Addresses

Primary practice location

11111 Houze Rd
Suite 320
Roswell, GA 30076-5663

Mailing address

11111 Houze Rd
Suite 320
Roswell, GA 30076-5663
Phone (770) 993-0051

National Provider Directory

National Provider Directory

Locations

11111 Houze Rd
Ste 320
Roswell, GA 30076
Phone (404) 630-9719

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1760666762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 HOUZE RD",
            "address_2": "SUITE 320",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765663",
            "telephone_number": "770-993-0051",
            "fax_number": "770-993-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HOUZE RD",
            "address_2": "SUITE 320",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765663",
            "telephone_number": "770-993-0051",
            "fax_number": "770-993-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYLES AND CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-993-0051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "29032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.