Lyerly Baptist Inc
NPI 1174493357ActiveOrganization· Internal Medicine, Sports Medicine· Jacksonville, FL
Internal Medicine, Sports Medicine in Jacksonville, Florida, registered in NPPES in November 2025. The authorized official on file is Tyrone McCloud, Executive Director.
Overview
| NPI | 1174493357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2025 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Sports Medicine Primary | 207RS0010X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Orthopaedic Surgery, Hand Surgery | 207XS0106X | — | — |
| Surgery, Surgery of the Hand | 2086S0105X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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