LYLE DRAKE (AUD) – Audiologist, NPI 1760894737

LYLE DRAKE (AUD) is a healthcare provider. based in Peachtree city, Georgia. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AUD003964 (GA). The NPI Number for LYLE DRAKE (AUD) is 1760894737

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
LYLE DRAKE (AUD)
NPI
1760894737
Phone
(770) 955-0270
Address
1601 GEORGIAN PARK
Enumeration Date
27 May 2014
Last Update Date
10 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709550270109
Graduation Year
2014 (12 years ago)
PAC ID
7719102292
Group Practice PAC ID
1658655238
Professional Enrollment ID
I20140626001256
Address ID
GA302652398NE2080XEXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

263 QUALIFIED AUDIOLOGIST in GA

Provider Addresses for LYLE DRAKE (AUD)

  • 1601 GEORGIAN PARK

    STE 100

    PEACHTREE CITY, GA 302696968

    Phone: (770) 955-0270

    Fax: (770) 955-0271

    Type: Mailing

  • 2080 NEWNAN CROSSING BLVD

    SUITE 300

    NEWNAN, GA 30265

    Phone: (770) 955-0270

    Fax: (770) 955-0271

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140626001256IQualified AudiologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30269)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658655238View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YGA
Physician AssistantGA
O T O L A R Y N G O L O G YGA

Reviews

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Frequently asked questions

What federal number belongs to LYLE DRAKE (AUD)?
The federal identifier for LYLE DRAKE (AUD) is NPI 1760894737.
Is LYLE DRAKE (AUD)'s NPI currently valid?
The extract we use shows LYLE DRAKE (AUD) as active.
What field does LYLE DRAKE (AUD) work in?
You can think of LYLE DRAKE (AUD) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
Where is LYLE DRAKE (AUD)'s primary listing?
We display Peachtree City, Georgia because that is what the record indicates for LYLE DRAKE (AUD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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