Individual provider Active NPI

Lincoln Hammell Lippincott, MD

  • Otolaryngology Physician
  • Statesboro, GA
National Provider Identifier
1154320661
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
051059 Issued in GA
Practice address
120 S Zetterower Ave
Statesboro, GA 30458-4816
Phone
(912) 681-7368
Fax
(912) 681-3687
NPI assigned
Jul 18, 2005
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 051059 GA Primary

Addresses

Primary practice location

120 S Zetterower Ave
Statesboro, GA 30458-4816

Mailing address

120 S Zetterower Ave
Statesboro, GA 30458-4816
Phone (912) 681-7368

Other identifiers 1

IdentifierTypeStateIssuer
00947262AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000295 GA Practitioner - Otolaryngology 8224134150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta ENT PCGroup PAC ID 9537156484, 24 clinicians

Practice addresses (Care Compare)

340 N Belair Rd
Evans, GA 30809-3000
Phone (706) 868-5676

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta ENT PC CurrentSince Sep 21, 2022 Accepting new patients
Augusta ENT PC Otolaryngology CurrentSince Sep 21, 2022 Accepting new patients
Augusta ENT PC Current Accepting new patients

Locations

720 Saint Sebastian Way
Ste 201
Augusta, GA 30901
Phone (478) 746-7577

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

120 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 681-7368

1301 Statesboro Place Cir
Statesboro, GA 30458
Phone (912) 500-2834

170 University Pkwy
Aiken, SC 29801
Phone (803) 649-9975

Interoperability endpoints

  • Direct secure messaging: llippincott@augustaent.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1154320661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584816",
            "telephone_number": "912-681-7368",
            "fax_number": "912-681-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584816",
            "telephone_number": "912-681-7368",
            "fax_number": "912-681-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPINCOTT",
        "first_name": "LINCOLN",
        "middle_name": "HAMMELL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "051059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00947262A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.