Individual provider Active NPI

Lynn P Dunaway, PAAA

  • Anesthesiologist Assistant
  • Riverdale, GA
National Provider Identifier
1285617324
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
R069772 Issued in GA
Practice address
11 Upper Riverdale Rd.
Riverdale, GA 30274-1254
Phone
(770) 478-9877
NPI assigned
Nov 22, 2005
Last updated
Nov 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X R069772 GA Primary

Addresses

Primary practice location

11 Upper Riverdale Rd.
Riverdale, GA 30274-1254

Mailing address

671 E College St
Griffin, GA 30224-4356
Phone (770) 227-6141

Other identifiers 1

IdentifierTypeStateIssuer
100000338AAMedicaidGA

Other names 1

  • Elizabeth Lynn Dunaway Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000030 GA Practitioner - Anesthesiology Assistant 9032234463 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R069772GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Anesthesiology, PC CurrentSince Apr 1, 2021 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiologist Assistant CurrentSince Jul 21, 2018 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Nov 18, 2018 Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (678) 251-0200

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

156 Foster Dr
Spc C
McDonough, GA 30253

1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446854400000",
    "number": "1285617324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 E COLLEGE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244356",
            "telephone_number": "770-227-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD.",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741254",
            "telephone_number": "770-478-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "LYNN",
        "middle_name": "P",
        "credential": "PAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "R069772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000338AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DUNAWAY",
            "middle_name": "LYNN",
            "credential": "PAAA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; 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.

Verify at the official NPI Registry.