Grant C Lynde, MD, MBA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

063497 Issued in GA

Practice address

116 Huron St
Decatur, GA 30030-5510

Phone

(253) 307-9162

NPI assigned

Mar 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, SC, PA3 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

Specialty

Anesthesiology

Education

University of Pittsburgh School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redmond Anesthesia and Pain Treatment, PCGroup PAC ID 4880841741, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Redmond Hospital, Rome, GA, CCN 110168

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Redmond Anesthesia and Pain Treatment, PC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1821350984
  Medicare reassignment Care Compare group NPD
• Atlantic Coast Anesthesia Services P.C.

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1932641313
  Medicare reassignment NPD
• St Vincent Medical Education and Research Institute Inc

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902881477
  Medicare reassignment NPD
• Anesthesia Associates of Dunedin

  • Anesthesiology Physician
  • Dunedin, FL
  • NPI 1184623522
  NPD (past)
• Anesthesia Associates of Pinellas County

  • Specialist
  • Clearwater, FL
  • NPI 1396772620
  NPD (past)
• Clearwater Pain Management Associates

  • Pain Clinic/Center
  • Clearwater, FL
  • NPI 1477585883

  Anesthesiology

  NPD (past)
• Tacoma Anesthesia Associates Inc PS

  • Anesthesiology Physician
  • Tacoma, WA
  • NPI 1447227814
  NPD (past)

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

• Redmond Park Hospital, LLC

  dba Adventhealth Redmond

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1508810565
  Care Compare affiliation

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1235106790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HURON ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305510",
            "telephone_number": "253-307-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HURON ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305510",
            "telephone_number": "253-307-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNDE",
        "first_name": "GRANT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "41121",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "063497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8430191",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle K Lyn, PHD
• Mary Gerard Lynch, MD
• Michael Francis Lynch, M.D.
• Sharon Maureen Lynch, R.PH.
• Susanne Lynch
• Jo Marie Lyons, MD
• M & W Royal Staffing Group
• M. Srinivasan MD PC
• M.C. Library Education Center Corp
• April Yauguang Maa, MD

• Anesthesiology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.