Active NPI
Michael Edward Lynch Sr., MD
- Obstetrics & Gynecology Physician
- Jasper, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 40146
- Practice address
- 220 J L White Dr Ste 120
Jasper, GA 30143-4894 - Phone
- (706) 692-3539
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 40146 | GA | Primary |
Addresses
Primary practice location
220 J L White Dr Ste 120
Jasper, GA 30143-4894
Mailing address
204 E 15TH St
Alma, GA 31510-2908
Phone (912) 632-2952
Other practice location 1
3345 US Highway 84 Ste 100
Blackshear, GA 31516-2160
Phone (912) 632-2952
Other practice location 2
204 E 15th St
Alma, GA 31510-2908
Phone (912) 632-2952
Other practice location 3
1406 Habersham Dr
Waycross, GA 31501-5306
Phone (912) 287-1130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000791612 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Mercer University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441
Hospital & facility affiliations
- Piedmont Mountainside Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40146 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients | |
| Piedmont Mountainside Hospital, Inc. | Past | Accepting new patients | |
| Michael E Lynch Sr MD PC | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
220 J L White Dr
Ste 120
Jasper, GA 30143
Phone (706) 692-3539
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
Interoperability endpoints
- michael.lynch@bacon.gadirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Obstetrics Physician
- Griffin, GA
- NPI 1992984686
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1073519013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E 15TH ST",
"city": "ALMA",
"state": "GA",
"postal_code": "315102908",
"telephone_number": "912-632-2952",
"fax_number": "912-632-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 J L WHITE DR STE 120",
"city": "JASPER",
"state": "GA",
"postal_code": "301434894",
"telephone_number": "706-692-3539"
}
],
"practiceLocations": [
{
"address_1": "3345 US Highway 84 Ste 100",
"address_purpose": "LOCATION",
"city": "Blackshear",
"state": "GA",
"postal_code": "315162160",
"country_code": "US",
"telephone_number": "912-632-2952",
"fax_number": "912-632-8682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "204 E 15th St",
"address_purpose": "LOCATION",
"city": "Alma",
"state": "GA",
"postal_code": "315102908",
"country_code": "US",
"telephone_number": "912-632-2952",
"fax_number": "912-632-8682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1406 Habersham Dr",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315015306",
"country_code": "US",
"telephone_number": "912-287-1130",
"fax_number": "912-287-9114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "40146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000791612",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.