Individual provider Active NPI

Margaret Blanche Lyons, FNP

  • Family Nurse Practitioner
  • Covington, GA
National Provider Identifier
1831733088
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0916279 Issued in GA
Practice address
3812 Salem Rd
Covington, GA 30016-4528
Phone
(678) 626-5431
Fax
(678) 625-5455
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0916279 GA Primary

Addresses

Primary practice location

3812 Salem Rd
Covington, GA 30016-4528

Mailing address

1867 Preserve Creek Way
Loganville, GA 30052-8796
Phone (678) 558-2638

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907003214 GA Practitioner - Nurse Practitioner 9537523642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3812 Salem Rd
Covington, GA 30016-4528
Phone (218) 203-5474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F0916279GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Immediate Care Associate Limited Liability Company Family CurrentSince Dec 23, 2024 Accepting new patients
Family Practice and Urgent Care Current Accepting new patients
Sy Med LLC PastSince Nov 1, 2019 Accepting new patients
Atlanta Medical and Aesthetic Center Inc. PastSince Nov 1, 2019 Accepting new patients

Locations

3812 Salem Rd
Covington, GA 30016
Phone (218) 203-5474

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJHDD/Endpoint/GEJHDD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1831733088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 PRESERVE CREEK WAY",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528796",
            "telephone_number": "678-558-2638"
        },
        {
            "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": "678-626-5431",
            "fax_number": "678-625-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MARGARET",
        "middle_name": "BLANCHE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F0916279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.