Mt Vernon Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

037603 Issued in GA

Legal business name

MT VERNON FAMILY MEDICINE

Practice address

1705 Mount Vernon Rd Ste a
Dunwoody, GA 30338-4257

Phone

(770) 350-9100

Fax

(770) 350-9226

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Charles Bradley Lyons, D.O.

Title

Owner

Phone

(770) 350-9100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1982964219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384257",
            "telephone_number": "770-350-9100",
            "fax_number": "770-350-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MOUNT VERNON RD STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384257",
            "telephone_number": "770-350-9100",
            "fax_number": "770-350-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT VERNON FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-350-9100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "037603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurelia Morris
• Katherine Elizabeth Morris, LCSW
• Jamie Christopher Morrison, PA-C
• Mount Vernon Dental Group, LLC
• Mount Vernon Eye Care, P.C.
• Rivkah Muller, LPC
• Renee Mullinax
• Adrienne Murray, CCC-SLP
• Catherine Sevier Nading, FNP
• Lyndon Naipaul, D.D.S.

• Family Medicine Physician in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.