Individual provider Active NPI

Jeffrey S. Lyons, D.O.

  • Family Medicine Physician
  • Sarasota, FL
National Provider Identifier
1851386908
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7077 Issued in FL
Practice address
921 S Beneva Rd
Sarasota, FL 34232-2401
Phone
(941) 365-7390
Fax
(941) 365-5469
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7077 FL Primary

Addresses

Primary practice location

921 S Beneva Rd
Sarasota, FL 34232-2401

Mailing address

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jeffrey.Lyons@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WY2 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
I20110209000198 FL Practitioner - Family PracticePractitioner - Internal Medicine 7911924501 Reassigns benefits to 1 organization
I20260520004164 WY Practitioner - Family Practice 7911924501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nokomis Physical Therapy LLC 104 clinicians
Intercoastal Medical Group Inc 176 clinicians
Summit Memorial Medical Group LLC 40 clinicians

Practice addresses (Care Compare)

109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

2881 Hyde Park St
Sarasota, FL 34239-3228
Phone (941) 906-7155

6500 E 2ND St
Casper, WY 82609-4338
Phone (307) 577-5100

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

943 S Beneva Rd
Suite 306
Sarasota, FL 34232-2473

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

  • Sarasota Memorial Homecare Home health agency, Sarasota, FL, CCN 107710
  • Concierge Home Care Home health agency, Sarasota, FL, CCN 109509
  • Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Summit Medical Center Hospital, Casper, WY, CCN 530034
  • Banner Wyoming Medical Center Hospital, Casper, WY, CCN 530012
  • Benderson Family Skilled Nursing and Rehab Center Nursing home, Sarasota, FL, CCN 106090
  • Life Care Center of Casper Nursing home, Casper, WY, CCN 535049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions41
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Intercoastal Medical Group Inc Family Medicine CurrentSince Jan 19, 2015 Accepting new patients
Gulf Coast Medical Specialists PLLC Past Accepting new patients
Kemwall Inpatient Services LLC Hospitalist Past Accepting new patients
Suncoast Inpatient Care P a Hospitalist Past Accepting new patients

Locations

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

Interoperability endpoints

  • Direct secure messaging: jeffrey.lyons@img.directbygreenway.com

Organizations & group practices 6

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 8

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1851386908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322401",
            "telephone_number": "941-365-7390",
            "fax_number": "941-365-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322401",
            "telephone_number": "941-365-7390",
            "fax_number": "941-365-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jeffrey.Lyons@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "921 S Beneva Rd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342322401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.