Active NPI
Lynn Kevin Flowers, MD
- Emergency Medicine Physician
- Jonesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 056708
- Practice address
- 2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236 - Phone
- (770) 603-3668
- Fax
- (912) 691-1953
- NPI assigned
- Jul 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 56708 | GA | |
| Emergency Medicine Physician | 207P00000X | 056708 | GA | Primary |
Addresses
Primary practice location
2400 Mt. Zion Parkway
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 739773196D | Medicaid | GA | |
| 739773196C | Medicaid | GA | |
| 01077064 | Other | GA | AMERIGROUP |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56708 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Current | Accepting new patients | |
| Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Tidewater | Emergency Medicine | Past | Accepting new patients |
| Georgia Emergency Associates | Emergency Medicine | Past | Accepting new patients |
| Samaritan Emergency Corp | Emergency Medicine | Past | Accepting new patients |
| Middletown Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Rincon, GA
- NPI 1528098290
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
-
- Emergency Medicine Physician
- Franklin, OH
- NPI 1932108784
-
- Emergency Medicine Physician
- Dayton, OH
- NPI 1922084136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1114945250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7070",
"fax_number": "912-691-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MT. ZION PARKWAY",
"address_2": "KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER",
"city": "JONESBORO",
"state": "GA",
"postal_code": "30236",
"telephone_number": "770-603-3668",
"fax_number": "912-691-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "LYNN",
"middle_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "56708",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "056708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "739773196D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "739773196C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01077064",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.