# LYERLY BAPTIST INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255266714
- **Authorized official:** DAWNE BYSHEIM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (631) 786-6094

## Contact information

- **Practice address:** 8595 SAINT JOHNS PKWY STE B203, ST AUGUSTINE, FL 32092-2064
- **Practice address phone:** (904) 202-6683
- **Practice address fax:** (904) 376-3062
- **Mailing address:** PO BOX 746647, ATLANTA, GA 30374-6647
- **Mailing address phone:** (904) 202-2092
- **Mailing address fax:** (904) 376-4075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/16/2026
- **Last updated:** 06/16/2026