| Lyerly Baptist Inc | |
|
1650 Prudential Dr Ste 200 Jacksonville FL 32207-8149 | |
| (904) 388-6518 | |
| (904) 384-1005 |
| Full Name | Lyerly Baptist Inc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 1650 Prudential Dr Ste 200, Jacksonville, Florida |
| Authorized Official Name and Position | Tyrone Mccloud (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9042025367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyerly Baptist Inc Po Box 746647 Atlanta GA 30374-6647 Ph: (904) 202-2092 | Lyerly Baptist Inc 1650 Prudential Dr Ste 200 Jacksonville FL 32207-8149 Ph: (904) 388-6518 |
| NPI Number | 1851347801 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Medicare PECOS PAC ID | 9830112226 |
|---|---|
| Medicare Enrollment ID | O20060111001171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851347801 | NPI | - | NPPES |
| 274381700 | Medicaid | FL |
| Provider Name | Michael J Seese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669433876 PECOS PAC ID: 9335189471 Enrollment ID: I20050507000023 |
| Provider Name | Edward F Saleh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699740399 PECOS PAC ID: 3072585454 Enrollment ID: I20050822000095 |
| Provider Name | Ashutosh a Pradhan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982648432 PECOS PAC ID: 7719980861 Enrollment ID: I20060810000479 |
| Provider Name | Bradley a Wallace |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134160161 PECOS PAC ID: 9436155009 Enrollment ID: I20061005000183 |
| Provider Name | Amanda Y Sheets |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164447462 PECOS PAC ID: 5294731717 Enrollment ID: I20061005000572 |
| Provider Name | Eric Sauvageau |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346252814 PECOS PAC ID: 7214939735 Enrollment ID: I20070212000505 |
| Provider Name | Kevin Michael Doulens |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447263694 PECOS PAC ID: 7113023334 Enrollment ID: I20070504000394 |
| Provider Name | Ricardo a Hanel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1356394936 PECOS PAC ID: 0941251128 Enrollment ID: I20071018000318 |
| Provider Name | Shannon F Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891979456 PECOS PAC ID: 0345324174 Enrollment ID: I20080303000567 |
| Provider Name | Danielle Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538319025 PECOS PAC ID: 6406917962 Enrollment ID: I20081203000321 |
| Provider Name | Vanessa Z Riegert-johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720030950 PECOS PAC ID: 6002865250 Enrollment ID: I20090203000091 |
| Provider Name | Merlie M Sapin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184862153 PECOS PAC ID: 6608924584 Enrollment ID: I20090504000059 |
| Provider Name | Kristie D Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114160975 PECOS PAC ID: 7315090693 Enrollment ID: I20090804000511 |
| Provider Name | Alex Brown |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1700902434 PECOS PAC ID: 0749472900 Enrollment ID: I20101006000265 |
| Provider Name | Jennifer L Stifter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295079226 PECOS PAC ID: 9638321375 Enrollment ID: I20121204000329 |
| Provider Name | Amogelang Marylin Keakopa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134557333 PECOS PAC ID: 8527293497 Enrollment ID: I20131030001490 |
| Provider Name | Casey Bonaquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689836918 PECOS PAC ID: 9032356639 Enrollment ID: I20140210001656 |
| Provider Name | Kristin L Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118206 PECOS PAC ID: 4082846928 Enrollment ID: I20140408002158 |
| Provider Name | Jennifer L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760803431 PECOS PAC ID: 0244462190 Enrollment ID: I20140408002202 |
| Provider Name | Marjorie M Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639596125 PECOS PAC ID: 0042442519 Enrollment ID: I20140416000028 |
| Provider Name | Daniel Cortelazzi Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770909327 PECOS PAC ID: 9739311002 Enrollment ID: I20140421001065 |
| Provider Name | Michael a Yorio |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1902810732 PECOS PAC ID: 9739077454 Enrollment ID: I20140826000916 |
| Provider Name | Kristin S Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407258114 PECOS PAC ID: 4587986583 Enrollment ID: I20141203002214 |
| Provider Name | Jan Michael Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225433758 PECOS PAC ID: 3577888239 Enrollment ID: I20150220002414 |
| Provider Name | Emily Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861887770 PECOS PAC ID: 3870813892 Enrollment ID: I20150514002108 |
| Provider Name | Adam Jordan Polifka |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427251230 PECOS PAC ID: 5991017394 Enrollment ID: I20150626000813 |
| Provider Name | Heather M Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104200450 PECOS PAC ID: 2466768866 Enrollment ID: I20150831002270 |
| Provider Name | Neeraj S Naval |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285730374 PECOS PAC ID: 2860491750 Enrollment ID: I20150914001604 |
| Provider Name | Anthony J Ossorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861878241 PECOS PAC ID: 8628388576 Enrollment ID: I20151105002144 |
| Provider Name | Annamarie M Hoffecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710356977 PECOS PAC ID: 7810297983 Enrollment ID: I20151120001359 |
| Provider Name | Mohamad Chmayssani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780847244 PECOS PAC ID: 7517115058 Enrollment ID: I20151221001648 |
| Provider Name | Sally R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891173688 PECOS PAC ID: 1951607167 Enrollment ID: I20160315001525 |
| Provider Name | Amin Nima Aghaebrahim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558504423 PECOS PAC ID: 1557594355 Enrollment ID: I20160613001821 |
| Provider Name | Sarah S Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538529235 PECOS PAC ID: 8729379565 Enrollment ID: I20160624001134 |
| Provider Name | Andrew B Shaw |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437487709 PECOS PAC ID: 7214176056 Enrollment ID: I20160831001371 |
| Provider Name | Yogesh Moradiya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306077177 PECOS PAC ID: 1951555127 Enrollment ID: I20160921000725 |
| Provider Name | Sara Michele Woolsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085035 PECOS PAC ID: 2062797905 Enrollment ID: I20170316000901 |
| Provider Name | Kyle M Starck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467976399 PECOS PAC ID: 3678830114 Enrollment ID: I20171208000207 |
| Provider Name | Justin Michael Mcginnis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497234769 PECOS PAC ID: 0840544029 Enrollment ID: I20181107002447 |
| Provider Name | Rachael Dominique Cardey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962964676 PECOS PAC ID: 2365784667 Enrollment ID: I20190508000022 |
| Provider Name | Jharna Nitin Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083935670 PECOS PAC ID: 6103040217 Enrollment ID: I20190826003567 |
| Provider Name | Neil C Ghany |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215955497 PECOS PAC ID: 9739105131 Enrollment ID: I20191001002078 |
| Provider Name | Corynn Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609419811 PECOS PAC ID: 9032545280 Enrollment ID: I20200206000256 |
| Provider Name | Devin Walter Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871117689 PECOS PAC ID: 5597181776 Enrollment ID: I20200818004154 |
| Provider Name | Annalise M Deboef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053926501 PECOS PAC ID: 4082034251 Enrollment ID: I20201009001579 |
| Provider Name | Jessica a Defazio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003271404 PECOS PAC ID: 3173899036 Enrollment ID: I20201217000373 |
| Provider Name | Anthony Abrigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578144523 PECOS PAC ID: 4284894171 Enrollment ID: I20210527001654 |
| Provider Name | Lyndsey Jean Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773106 PECOS PAC ID: 6406256692 Enrollment ID: I20210609001957 |
| Provider Name | Dennis Q Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043664576 PECOS PAC ID: 8820382609 Enrollment ID: I20210708001417 |
| Provider Name | Harrison Scott Mahon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477943579 PECOS PAC ID: 9032426515 Enrollment ID: I20210727002760 |
| Provider Name | Marcia M Camero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639598352 PECOS PAC ID: 0042506586 Enrollment ID: I20211029002246 |
| Provider Name | Kimberlee Nicole Leek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013325943 PECOS PAC ID: 1153618863 Enrollment ID: I20220201002737 |
| Provider Name | Daniel S Ikeda |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164751947 PECOS PAC ID: 5395984181 Enrollment ID: I20220208001263 |
| Provider Name | Joe P Bhagratie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346801453 PECOS PAC ID: 3678900644 Enrollment ID: I20220920001105 |
| Provider Name | Robert D Santrock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497731780 PECOS PAC ID: 0244246627 Enrollment ID: I20230127002402 |
| Provider Name | Abdelghaffar K Salous |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821416793 PECOS PAC ID: 7315243888 Enrollment ID: I20230221002317 |
| Provider Name | Jeremy Knight Demille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154028751 PECOS PAC ID: 9638543408 Enrollment ID: I20230316002876 |
| Provider Name | Ryan Alexander Pal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538854690 PECOS PAC ID: 9335505536 Enrollment ID: I20230512002201 |
| Provider Name | Joseph Spinelli |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851653406 PECOS PAC ID: 9830426949 Enrollment ID: I20230518001140 |
| Provider Name | Melissa Ann Wasilenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427740224 PECOS PAC ID: 8729446067 Enrollment ID: I20230620001251 |
| Provider Name | Sasha Vaziri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023495017 PECOS PAC ID: 6800101924 Enrollment ID: I20230622003573 |
| Provider Name | Michael Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346918786 PECOS PAC ID: 7810385390 Enrollment ID: I20230918000933 |
| Provider Name | Kara J Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457827503 PECOS PAC ID: 6709123953 Enrollment ID: I20231017001123 |
| Provider Name | Alexandra M Straitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265293765 PECOS PAC ID: 6901259076 Enrollment ID: I20240125002412 |
| Provider Name | Savannah Nicole Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285325274 PECOS PAC ID: 6103351911 Enrollment ID: I20241203000126 |
| Provider Name | Kurt a Madzunovic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629495981 PECOS PAC ID: 6800184730 Enrollment ID: I20241217001795 |
| Provider Name | Faith V Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073339545 PECOS PAC ID: 6204364516 Enrollment ID: I20250115000703 |
| Provider Name | Pedro Aguilar Salinas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407351760 PECOS PAC ID: 3779834296 Enrollment ID: I20250612000462 |
| Provider Name | Mark William Floyd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811158249 PECOS PAC ID: 2668614736 Enrollment ID: I20250801002643 |
| Provider Name | Daniel Douglas Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871098129 PECOS PAC ID: 4183132459 Enrollment ID: I20250806003160 |
| Provider Name | Vyshak Chandra |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629563440 PECOS PAC ID: 4284988205 Enrollment ID: I20250916001142 |
| Provider Name | Steffano Mottl |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356832281 PECOS PAC ID: 1052662673 Enrollment ID: I20250922003556 |
| Provider Name | Hunter T Buchanan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1306424833 PECOS PAC ID: 4981149655 Enrollment ID: I20250925000137 |
| Provider Name | Caroline R Kiser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922425560 PECOS PAC ID: 4183993926 Enrollment ID: I20251104000669 |
| Provider Name | Caroline Gray Mckee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073393971 PECOS PAC ID: 7416430087 Enrollment ID: I20260311003512 |
| Provider Name | Steven a Lovejoy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144317272 PECOS PAC ID: 6800817529 Enrollment ID: I20260421001449 |
| Provider Name | Samantha R Chaudhry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679427314 PECOS PAC ID: 6901373059 Enrollment ID: I20260426000095 |
Lem Turner Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9390 Lem Turner Rd, Jacksonville, FL 32208 Phone: 904-766-2953 Fax: 904-766-2993 |
CJ New Path Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave, Jacksonville, FL 32202 Phone: 904-791-6632 |
Conviva Philips Highway Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4250 Philips Hwy # 100, Jacksonville, FL 32207 Phone: 904-839-1018 Fax: 904-656-7279 |
Id Associates of Jacksonville PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Shircliff Way, Ste 610, Jacksonville, FL 32204 Phone: 904-387-5027 Fax: 904-387-2208 |
Hong Tek MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 University Blvd S, Jacksonville, FL 32216 Phone: 904-388-3351 |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Riverside Ave Ste 103, Jacksonville, FL 32202 Phone: 904-353-5696 Fax: 904-390-7483 |