Thaddeus Kedron Lynn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

059670 Issued in GA

Practice address

8495 Dunwoody PL
Building 9, Suite 100
Atlanta, GA 30350-3321

Phone

(770) 817-8423

Fax

(770) 817-8424

NPI assigned

Jul 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Geriatric Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIFBDA/Endpoint/BIFBDA

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.

• Thaddeus K Lynn, M.D., P.C.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1336492727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1114182458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 DUNWOODY PL",
            "address_2": "BUILDING 9, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303503321",
            "telephone_number": "770-817-8423",
            "fax_number": "770-817-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 DUNWOODY PL",
            "address_2": "BUILDING 9, SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303503321",
            "telephone_number": "770-817-8423",
            "fax_number": "770-817-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "THADDEUS",
        "middle_name": "KEDRON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "048",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasaday Lynch, MD
• Carla Renee Lynes, M.S.
• Christina Moldovanyi Lynn, MD
• Madison Lynn
• Morgan Henry Lynn, CRNA
• Liana Marie Lynskey, OD
• George M Lyon, M.D.
• Jared Lyon, PTA
• Tabitha Lyon, MD
• Ashley Elizabeth Lyons, MS, OTR/L

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.

Verify at the official NPI Registry.