1. Home
  2. Directory
  3. Georgia
  4. Vidalia
  5. Nurse Practitioner
  6. NPI Profile

SHELBY WILLIAMS LYLES FNP-C
NPI 1407614761
Nurse Practitioner in Vidalia, GA

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
1 MEADOWS PKWY STE B, VIDALIA, GA 30474(912) 454-7012(866) 871-8565 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Williams Lyles Fnp-c NPPES

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

SHELBY WILLIAMS LYLES FNP-C (NPI 1407614761) is an individual nurse practitioner in Vidalia, Georgia, licensed in Georgia (APRN-NP235990) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Memorial Health Meadows Hospital, and maintains a secondary practice location in Dublin.

NPPES Registry Identity

NPI1407614761
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHELBY WILLIAMS LYLESCredential: FNP-C
Location Address1 MEADOWS PKWY STE BVidalia, GA 30474-8759
Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (855) 963-2100
Phone(912) 454-7012
Fax(866) 871-8565
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 11, 2024
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1407614761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · APRN-NP235990
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN-NP235990 (GA)
1 MEADOWS PKWY STE B, Vidalia, GA 30474
Open in Google Maps ↗

Secondary Practice Location 1

Location 12400 Bellevue Rd Ste 26Dublin, GA 31021-2893 · Phone (478) 272-8266 · Fax (478) 272-7552

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Williams Lyles Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557881331
PECOS Enrollment IDI20250224002047
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SREEKANTH REDDY MD
Internal Medicine (Medical Oncology)
1 MEADOWS PKWY STE B
VIDALIA, GA 30474
Toombs County (912) 454-7012
AMERICAN ONCOLOGY PARTNERS, P.A.
Internal Medicine (Hematology & Oncology)
1 MEADOWS PKWY STE B
VIDALIA, GA 30474
Toombs County (912) 454-7012
MRS. PATRICIA CAVE WILLIAMS APRN
Nurse Practitioner
1 MEADOWS PKWY STE B
VIDALIA, GA 30474
Toombs County (912) 454-7012

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 Shelby Lyles's NPI number?

The NPI number for Shelby Lyles is 1407614761. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Shelby Lyles located?

Shelby Lyles practices at 1 Meadows Pkwy Ste B, Vidalia, GA 30474. The listed phone number is (912) 454-7012.

What is Shelby Lyles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shelby Lyles enrolled in Medicare?

Yes. Shelby Lyles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelby Lyles accept?

Health plans from Alliant Health Plans, Inc., Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company list Shelby Lyles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Lyles affiliated with any hospitals?

According to CMS data, Shelby Lyles is affiliated with Memorial Health Meadows Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Lyles was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.