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

Lyerly Baptist Inc

Organization Neurological Surgery Physician · NPI 1720869068

Lyerly Baptist Inc is a Neurological Surgery Physician in Jacksonville, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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

14540 Old Saint Augustine Rd Ste 2207
Jacksonville, FL 32258-7419
Phone: (904) 388-6518
Fax: (904) 384-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Neurology Physician Taxonomy 2084N0400X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1720869068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Gorak — Vp, Medical Director Of Operations · (904) 202-7300
NPI enumeratedOctober 12, 2023
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing addressPo Box 746647, Atlanta, GA 30374-6647

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