Individual provider Active NPI

Lynn Beatty Athens, MD

  • Family Medicine Physician
  • Lincoln City, OR
National Provider Identifier
1164522785
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD197669 Issued in OR
Practice address
825 NW Highway 101 Ste a
Lincoln City, OR 97367-3241
Phone
(541) 996-7480
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301061662 MI
Family Medicine Physician 207Q00000X MD61187277 WA
Family Medicine Physician 207Q00000X MD197669 OR Primary

Addresses

Primary practice location

825 NW Highway 101 Ste a
Lincoln City, OR 97367-3241

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

4444 W Bristol Rd
Ste 150
Flint, MI 48507-3153
Phone (810) 230-9500

Other practice location 2

1484 Straits Dr Ste 5
Bay City, MI 48706
Phone (989) 667-8740

Other practice location 3

1500 NE 15th Ave Apt 431
Portland, OR 97232-4418
Phone (810) 230-9500

Other practice location 4

606 Oakesdale Ave SW Ste C200
Renton, WA 98057-5227
Phone (866) 259-1629

Other names 1

  • Lynn A Beatty Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lathens307521@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061205000112 MI Practitioner - Family Practice 6901805795 Reassigns benefits to 2 organizations
I20200819003736 OR Practitioner - Family Practice 6901805795 Reassigns benefits to 3 organizations
I20210818000761 WA Practitioner - Family Practice 6901805795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan North Lincoln Hospital 42 clinicians

Practice addresses (Care Compare)

825 NW Hwy 101
Lincoln City, OR 97367-3241
Phone (541) 996-7840

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Lincoln City, OR, CCN 387077
  • Adventist Health Home Care Services - Tillamook Home health agency, Tillamook, OR, CCN 387312
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301061662MIMDFamily Medicine Physician
MD197669ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Family Medicine CurrentSince Feb 14, 2001 Accepting new patients
Iah of Michigan, PLLC Family Medicine CurrentSince May 8, 2017 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jan 1, 2025 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jan 1, 2025 Accepting new patients
Vpa PC Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Vpa PC Family Medicine CurrentSince Feb 14, 2001 Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 14, 2020 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Vpa PC Family Medicine CurrentSince Aug 3, 2021 Accepting new patients
Visiting Podiatry PLLC PastSince Mar 7, 2011 Accepting new patients
Samaritan North Lincoln Hospital PastSince Jan 26, 2025 Accepting new patients

Locations

1484 Straits Dr
Ste 5
Bay City, MI 48706
Phone (989) 667-8740

4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

825 NW Highway 101
Ste A
Lincoln City, OR 97367
Phone (541) 996-7480

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

13221 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (503) 213-5000

606 Oakesdale Ave SW
Ste C200
Renton, WA 98057
Phone (866) 259-1629

Interoperability endpoints

  • Direct secure messaging: lathens307521@samhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1164522785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NW HIGHWAY 101 STE A",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973673241",
            "telephone_number": "541-996-7480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4444 W Bristol Rd",
            "address_2": "Ste 150",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485073153",
            "country_code": "US",
            "telephone_number": "810-230-9500",
            "fax_number": "810-230-0169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1484 Straits Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "48706",
            "country_code": "US",
            "telephone_number": "989-667-8740",
            "fax_number": "989-667-8745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 NE 15th Ave Apt 431",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972324418",
            "country_code": "US",
            "telephone_number": "810-230-9500",
            "fax_number": "810-230-0169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Oakesdale Ave SW Ste C200",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980575227",
            "country_code": "US",
            "telephone_number": "866-259-1629",
            "fax_number": "855-666-8541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATHENS",
        "first_name": "LYNN",
        "middle_name": "BEATTY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301061662",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61187277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD197669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lathens307521@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "825 NW Highway 101 Ste A",
            "city": "Lincoln City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973673241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BEATTY",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.