Individual provider · Type 1 NPI

Shelby Williams Lyles, FNP-C

Nurse Practitioner · Vidalia, GA

NPI number 1407614761 Active

Practice location

1 Meadows Pkwy Ste B
Vidalia, GA 30474-8759

Call (912) 454-7012 Map

Fax (866) 871-8565

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Other practice locations

2400 Bellevue Rd Ste 26, Dublin, GA 31021-2893 · (478) 272-8266

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	APRN-NP235990 (GA)
Nurse Practitioner Primary	363L00000X	APRN-NP235990 (GA)

Nurse Practitioner: (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 wit…

3 other providers at this address

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About NPI 1407614761

Shelby Williams Lyles, FNP-C's National Provider Identifier is 1407614761, issued on Mar 11, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vidalia, GA. The record was last updated on Oct 15, 2025.