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MR. TONY WAYNE LYLE NAVY IDC
NPI 1144429507
Military Health Care Provider - Independent Duty Corpsman in Kings Bay, GA

Active since July 16, 2007
1061 USS TENNESSEE AVE, KINGS BAY, GA 31547(912) 573-4540 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tony Wayne Lyle Navy Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TONY WAYNE LYLE NAVY IDC (NPI 1144429507) is an individual independent duty corpsman provider in Kings Bay, Georgia and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1144429507
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. TONY WAYNE LYLECredential: NAVY IDC
Location Address1061 USS TENNESSEE AVEKings Bay, GA 31547
Mailing Address136 Lake Victoria Dr.Kingsland, GA 31548 · (912) 322-8352
Phone(912) 573-4540
Sole ProprietorYes
Enumeration DateJuly 16, 2007
✔ NPI 1144429507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1061 USS TENNESSEE AVE, Kings Bay, GA 31547
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ODELIA NICOLE MCFADDEN PSY.D.
Psychologist (Clinical)
1061 USS TENNESSEE AVE
KINGS BAY, GA 31547
Camden County (912) 676-3065
MR. PHILLIP DWAYNE NORMAN IDC
Military Health Care Provider (Independent Duty Corpsman)
1061 USS TENNESSEE AVE
CPU KINGS BAY, GA 31547
Camden County (912) 573-4540
ANDREW THOMAS WEMLINGER IDC
Military Health Care Provider (Independent Duty Corpsman)
1061 USS TENNESSEE AVE
KINGS BAY, GA 31547
Camden County (847) 651-7276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tony Lyle's NPI number?

The NPI number for Tony Lyle is 1144429507. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Tony Lyle located?

Tony Lyle practices at 1061 Uss Tennessee Ave, Kings Bay, GA 31547. The listed phone number is (912) 573-4540.

What is Tony Lyle's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Tony Lyle was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.