Charlton Lyons

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

890 Northwoods Plaza
Macon, GA 31204

Phone

(478) 330-7164

NPI assigned

Jan 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Healthqwest Frontiers LLC

  • Methadone Clinic
  • Macon, GA
  • NPI 1043631476
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1851989917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 NORTHWOODS PLAZA",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-330-7164",
            "fax_number": "478-330-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 NORTHWOODS PLAZA",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31204",
            "telephone_number": "478-330-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "CHARLTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "056939681",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HPLaptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "890 Northwoods Plaza",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quyen Ngoc Luu, MD
• Luxottica of America Inc. (Lenscrafters #5609)
• Luxottica Retail North America Inc (Sears Optical #C0570)
• Allison Lumsden Lynch, NP
• Kathy Clarice Lynn, M.D.
• Kimberly Lyons, RD, LD
• M Gary Carter MD (the glass house optical)
• M Gary Carter, MD PA (Carter Eye Center)
• M. Franklin Arnold, MD
• M&E Pharmacy Services Inc (Medical Arts Pharmacy)

• Addiction (Substance Use Disorder) Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.