Individual provider Active NPI

Lynndsey Parker, MD

  • Pediatrics Physician
  • Tallahassee, FL
National Provider Identifier
1275995672
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME164400 Issued in FL
Practice address
1205 Marion Ave
Tallahassee, FL 32303-6513
Phone
(850) 681-3887
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME164400 FL Primary

Addresses

Primary practice location

1205 Marion Ave
Tallahassee, FL 32303-6513

Mailing address

1205 Marion Ave
Tallahassee, FL 32303-6513
Phone (850) 681-3887

Other names 1

  • Dr. Lynndsey Klenk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190730002504 GA Practitioner - Pediatric Medicine 9436401155 Reassigns benefits to 1 organization
I20231102003432 FL Practitioner - Pediatric Medicine 9436401155 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Medical Group, PLLC Current Accepting new patients
Central Georgia Emergency Group, LLC CurrentSince Mar 15, 2019 Accepting new patients
Tallahassee Primary Care Associates, PA Pediatrics CurrentSince Nov 6, 2023 Accepting new patients
Tmgim PLLC Pediatrics PastSince Sep 1, 2024 Accepting new patients

Locations

1803 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 297-0114

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

Interoperability endpoints

  • Direct secure messaging: lynndseyparker@tpca.allscriptsdirect.net
  • Direct secure messaging: lynndseyparker@telmedgrp.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1275995672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MARION AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036513",
            "telephone_number": "850-681-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MARION AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036513",
            "telephone_number": "850-681-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LYNNDSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME164400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNDSEY",
            "last_name": "KLENK",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.