Active NPI
Carl W. Lynn, D.C.
- Chiropractor
- Clayton, GA
National Provider Identifier
1194724815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR001944
- Practice address
- 156 N Main St
Clayton, GA 30525-4266 - Phone
- (706) 782-7005
- Fax
- (877) 525-2590
- NPI assigned
- Jul 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR001944 | GA | Primary |
Addresses
Primary practice location
156 N Main St
Clayton, GA 30525-4266
Mailing address
PO Box 561
Clayton, GA 30525-0015
Phone (706) 782-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100209000002 | GA | Practitioner - Chiropractic | 6103969449 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1194724815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305250015",
"telephone_number": "706-782-7005",
"fax_number": "877-525-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 N MAIN ST",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305254266",
"telephone_number": "706-782-7005",
"fax_number": "877-525-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "CARL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR001944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.