Individual provider Active NPI

Lynn Marie Goetze, MD

  • Family Medicine Physician
  • Bluffton, SC
National Provider Identifier
1093746042
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22380 Issued in SC
Practice address
4818 Bluffton Pkwy
Bluffton, SC 29910-4602
Phone
(843) 706-0600
Fax
(843) 706-0601
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22380 SC Primary

Addresses

Primary practice location

4818 Bluffton Pkwy
Bluffton, SC 29910-4602

Mailing address

PO Box 1560
Bluffton, SC 29910
Phone (843) 706-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080514000889 SC Practitioner - Family Practice 6709955875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.95 of 100Reported as group
Quality
83.15
Promoting interoperability
100
Improvement activities
40
Cost
73.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Beaufort County Memorial Hosptial CurrentSince Jun 28, 2023 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Burnt Church Primary and Urgent Care, LLC Past Accepting new patients
South Carolina Health Service Family Medicine Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

1 Burnt Church Rd
Bluffton, SC 29910
Phone (843) 681-4977

1 Burnt Church Rd
#A
Bluffton, SC 29910
Phone (843) 706-2185

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1093746042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "843-706-0600",
            "fax_number": "843-706-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 BLUFFTON PKWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104602",
            "telephone_number": "843-706-0600",
            "fax_number": "843-706-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZE",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "22380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.