OrganizationActive
Lyerly Baptist Inc
NPI 1164242830 · Obesity Medicine (Family Medicine) Physician · Ponte Vedra, FL
Provider details
- NPI number
- 1164242830
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Catherine Holloway, Executive Director(904) 202-5378
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Colonnade Dr Ste 230
Ponte Vedra, FL 32081-6237
Phone: (904) 202-1795
Fax: (904) 376-3478
Street-level locationGet directions
Mailing address
Po Box 746647
Atlanta, GA 30374-6647
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.