| Dr Craig R Lyles, MD | |
|
425 Broad St Se, Gainesville, GA 30501-3751 | |
| (770) 718-9776 | |
| Not Available |
| Full Name | Dr Craig R Lyles |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 425 Broad St Se, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801871199 | NPI | - | NPPES |
| 553281085B | Medicaid | GA | |
| 009980095 | Medicaid | AL | |
| P00725554 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 00025981 (Alabama) | Primary |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20210318002336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig R Lyles, MD 425 Broad St Se, Gainesville, GA 30501-3751 Ph: (770) 718-9776 | Dr Craig R Lyles, MD 425 Broad St Se, Gainesville, GA 30501-3751 Ph: (770) 718-9776 |
Kimberely J Windham-cope, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Scott M Stephen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Ajay Kumar Ravi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Ms. Neha Agrawal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. Lee A Martin Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Brian P Gay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 425 Broad St Se, Suite 102, Gainesville, GA 30501 Phone: 770-718-9776 Fax: 770-718-1910 | |
Dr. David Lawrence Kimball, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-539-9391 Fax: 770-533-4701 |