Active NPI
Steven M. Lynn, MD, PC
- Psychiatry Physician
- Smyrna, GA
National Provider Identifier
1124391032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 027402
- Legal business name
- STEVEN M. LYNN, MD, PC
- Practice address
- 4015 S Cobb Dr SE
Suite 255
Smyrna, GA 30080-6303 - Phone
- (770) 333-1755
- Fax
- (770) 333-6115
- NPI assigned
- Feb 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Marc Lynn, MD
- Title
- Doctor
- Phone
- (770) 333-1755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 027402 | GA | Primary |
Addresses
Primary practice location
4015 S Cobb Dr SE
Suite 255
Smyrna, GA 30080-6303
Mailing address
4015 S Cobb Dr SE
Suite 255
Smyrna, GA 30080-6303
Phone (770) 333-1755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000320515B | Medicaid | GA | |
| 26BDCKC | Other | GA | MEDICARE ID |
National Provider Directory
National Provider DirectoryLocations
4015 S Cobb Dr SE
Ste 255
Smyrna, GA 30080
Phone (770) 333-1755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329955200000",
"number": "1124391032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 S COBB DR SE",
"address_2": "SUITE 255",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806303",
"telephone_number": "770-333-1755",
"fax_number": "770-333-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 S COBB DR SE",
"address_2": "SUITE 255",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806303",
"telephone_number": "770-333-1755",
"fax_number": "770-333-6115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN M. LYNN, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "770-333-1755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "027402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000320515B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "26BDCKC",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.