Individual provider Active NPI

Timothy Mynes, DO

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1265475669
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102203874 Issued in VA
Practice address
21054A Timberlake Rd
Lynchburg, VA 24502-7327
Phone
(740) 357-7355
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102203874 VA Primary

Addresses

Primary practice location

21054A Timberlake Rd
Lynchburg, VA 24502-7327

Mailing address

21054A Timberlake Rd
Lynchburg, VA 24502-7327
Phone (740) 357-7355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, MN3 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
I20140923001965 VA Practitioner - Family Practice 5799697124 Reassigns benefits to 2 organizations
I20201021002241 WV Practitioner - Family Practice 5799697124
I20231020001637 MN Practitioner - Family Practice 5799697124

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Health CenterGroup PAC ID 9537060413, 39 clinicians

Practice addresses (Care Compare)

109 Clearview Rd
Madison Heights, VA 24572-2600
Phone (434) 455-2480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3598WVMDGeneral Practice Dentistry
0102203874VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Health Center CurrentSince Sep 1, 2025 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine Current Accepting new patients
Johnson Health Center CurrentSince Sep 1, 2025 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Jun 28, 2014 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Jun 28, 2014 Accepting new patients
Epmg of Ohio Inc P a PastSince Aug 3, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Past Accepting new patients
Johnson Health Center Past Accepting new patients
Dublin Urgent Care Inc Past Accepting new patients
Medexpress, Inc - Delaware Family Medicine Past Accepting new patients

Locations

21054A Timberlake Rd
Lynchburg, VA 24502
Phone (434) 239-0627

320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967

109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1265475669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21054A TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027327",
            "telephone_number": "740-357-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21054A TIMBERLAKE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027327",
            "telephone_number": "740-357-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNES",
        "first_name": "TIMOTHY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.