Lyerly Baptist Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

LYERLY BAPTIST INC

Practice address

1650 Prudential Dr Ste 200
Jacksonville, FL 32207-8149

Phone

(904) 388-6518

Fax

(904) 384-1005

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Tyrone McCloud

Title

Executive Director

Phone

(904) 202-5367

Specialties & licenses 14

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lyerly Baptist Inc

  • Neurology Physician
  • Jacksonville Beach, FL
  • NPI 1336476795

  O20060111001171

  Same enrollment
• Lyerly Baptist Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1740515006

  O20060111001171

  Same enrollment
• Lyerly Baptist Inc

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1821313883

  O20060111001171

  Same enrollment
• Lyerly Baptist Inc

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1962736413

  O20060111001171

  Same enrollment

Locations

Practitioners 80

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

• Anthony A. Abrigo, FNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1578144523
  Medicare reassignment Care Compare group NPD
• Amin Nima Aghaebrahim, M.D.

  • Vascular Neurology Physician
  • Jacksonville, FL
  • NPI 1558504423
  Medicare reassignment Care Compare group NPD
• Pedro Aguilar Salinas, MD

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1407351760
  Medicare reassignment Care Compare group NPD
• Heather Marie Bean, ARNP

  • Acute Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1104200450
  Medicare reassignment Care Compare group NPD
• Joe P Bhagratie, DO

  • Sports Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1346801453
  Medicare reassignment Care Compare group NPD
• Casey Renee Bonaquist, D.O.

  • Obesity Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1689836918
  Medicare reassignment Care Compare group NPD
• Alex James Brown, MD

  • Sports Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1700902434
  Medicare reassignment Care Compare group NPD
• Hunter T Buchanan, DO

  • Sports Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1306424833
  Medicare reassignment Care Compare group NPD
• Savannah Nicole Burgess, APRN

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1285325274
  Medicare reassignment Care Compare group NPD
• Marcia McDonough Camero, APRN

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1639598352
  Medicare reassignment Care Compare group NPD
• Rachael Dominique Cardey, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1962964676
  Medicare reassignment Care Compare group NPD
• Vyshak Chandra, MD

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1629563440
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1851347801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746647",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746647",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 PRUDENTIAL DR STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078149",
            "telephone_number": "904-388-6518",
            "fax_number": "904-384-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYERLY BAPTIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-202-5367"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274381700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyerly Baptist Inc
• Lyerly Baptist Inc
• Lyerly Baptist Inc
• Lyerly Baptist Inc
• Lyerly Baptist Inc
• Lyerly Baptist Inc
• Lyerly Baptist Inc
• Lyfstyl Health, LLC
• Aurielle Lyken
• Amy Jo Lykins, ARNP

• Neurological Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.