LYERLY BAPTIST INC NPI 1063387116

NPI Information

  • NPI: 1063387116
  • Provider Name: LYERLY BAPTIST INC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 2416 LYNNDALE RD STE 102
    FERNANDINA BEACH, FL
    ZIP 32034
  • Phone: (904) 202-6683

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NPI Details

LYERLY BAPTIST INC is an orthopaedic surgery in Fernandina Beach, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. LYERLY BAPTIST INC NPI is 1063387116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2416 LYNNDALE RD STE 102
FERNANDINA BEACH, FL
ZIP 32034-201
Phone: (904) 202-6683
Fax: (904) 376-3062

The provider's authorized official is Tyrone Mccloud .
The authorized official title is Executive Director and has the following contact phone number (904) 202-5367.

The enumeration date for this NPI number is 10/8/2025 and was last updated on 11/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RS0010XInternal MedicineSports MedicineNo
2207QS0010XFamily MedicineSports MedicineNo
3207XX0005XOrthopaedic SurgerySports MedicineNo
4207X00000XOrthopaedic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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