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

Dr. Jesse Tyler Lyons, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1437716529

Dr. Jesse Tyler Lyons, MD is a Family Practice in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4530 Saint Johns Ave Ste 13
Jacksonville, FL 32210-1852
Phone: (904) 384-5222
Fax: (904) 390-7461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME163619 (FL)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence ME163619 (FL)

Record details

NPI number1437716529
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing addressPo Box 40767, Jacksonville, FL 32203-0767

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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