Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lyerly Baptist Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1255266714

Lyerly Baptist Inc is a Sports Medicine (Family Medicine) Physician in St Augustine, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8595 Saint Johns Pkwy Ste B203
St Augustine, FL 32092-2064
Phone: (904) 202-6683
Fax: (904) 376-3062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1255266714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawne Bysheim — Executive Director · (631) 786-6094
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing addressPo Box 746647, Atlanta, GA 30374-6647

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