Kenny Wayne Lynn, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

10796 Issued in TN

Practice address

210 W. Cedar Ave
Cookeville, TN 38501-2419

Phone

(931) 528-7418

Fax

(931) 525-6165

NPI assigned

Apr 6, 2006

Last updated

Dec 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Family Practice

Education

University of Tennessee, HSC, College of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114
• Suncrest Home Health Home health agency, Smithville, TN, CCN 447176
• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kenny W. Lynn, M.D.

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1043376544
  NPD (past) Authorized official

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

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • McMinnville, TN
  • NPI 1124044284
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Cookeville, TN
  • NPI 1295751360
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Sparta, TN
  • NPI 1619993789
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Franklin, TN
  • NPI 1750582391
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Lebanon, TN
  • NPI 1912923061
  Care Compare affiliation
• NHC-Op LP

  • Home Health Agency
  • Murfreesboro, TN
  • NPI 1972529006
  Care Compare affiliation
• Suncrest Healthcare of East Tennessee, LLC

  dba Beacon Home Health

  • Home Health Agency
  • Smithville, TN
  • NPI 1003052697
  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1336102912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012419",
            "telephone_number": "931-528-7418",
            "fax_number": "931-525-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W. CEDAR AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012419",
            "telephone_number": "931-528-7418",
            "fax_number": "931-525-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "KENNY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "TN",
            "license": "10796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Lundhom
• Tara Luther, SLP-CCC
• Luxottica Retail North America Inc (Sears Optical #C1082)
• Annette J Lynch, LPC-MHSP
• Karen Yvonne Lynn, FAMILY NURSE PRACTIT
• Jennifer L Mabry, FNP
• Mary Lillian Mack, R.N.
• Carrie Mackerwicz
• Rachel Macmillan, OTR/L
• Spencer J. Madell, MD

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.