Organization Active NPI

Steven M. Lynn, MD, PC

  • Psychiatry Physician
  • Smyrna, GA
National Provider Identifier
1124391032
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
027402 Issued in GA
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

Updated by the provider on Feb 23, 2012

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000320515BMedicaidGA
26BDCKCOtherGAMEDICARE ID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.