Michael Roy Lyles Sr.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

29032 Issued in GA

Practice address

11111 Houze Rd
Ste. 320
Roswell, GA 30076-5663

Phone

(770) 993-0051

Fax

(770) 993-0052

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 29, 2018 through Aug 29, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lyles and Crawford

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1760666762
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1861567208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 KETTERING DR NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753189",
            "telephone_number": "770-552-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HOUZE RD",
            "address_2": "STE. 320",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765663",
            "telephone_number": "770-993-0051",
            "fax_number": "770-993-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "MICHAEL",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "29032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Roberson Lundy, D.C.
• Brianna Lutyk
• Luxottica of America Inc
• William D Lyday II, MD
• Lyles and Crawford
• Stephanie Lynn, PA-C
• Jill Ann Mabley, MD
• Elizabeth Macarthur, BS PT , CIMI
• Ashlee T Mack, H.I.S.
• Wendy Medders Macke, DMD

• Psychiatry Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.