Active NPI
Timothy Mynes, DO
- Family Medicine Physician
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102203874
- 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
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 |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3598 | WV | MD | General Practice Dentistry |
| 0102203874 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Health Center | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Johnson Health Center | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Epmg of Ohio Inc P a | Past | 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.
-
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
Family Medicine, VA
-
- Federally Qualified Health Center (FQHC)
- Madison Heights, VA
- NPI 1972858660
-
- Federally Qualified Health Center (FQHC)
- Lynchburg, VA
- NPI 1821212481
-
- Community Health Clinic/Center
- Bedford, VA
- NPI 1609203538
-
- Federally Qualified Health Center (FQHC)
- Rustburg, VA
- NPI 1881102655
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1124573514
Family Medicine
-
- Urgent Care Clinic/Center
- Richmond, VA
- NPI 1225563679
Family Medicine
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1053308148
-
- Emergency Medicine Physician
- Portsmouth, OH
- NPI 1841232196
-
- Urgent Care Clinic/Center
- Brookhaven, PA
- NPI 1437681335
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.