Active NPI
Lynette Stewart, M.D.
- Obstetrics & Gynecology Physician
- Peachtree Corners, GA
National Provider Identifier
1356438246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 039681
- Practice address
- 5185 Peachtree Pkwy Ste 300
Peachtree Corners, GA 30092-6543 - Phone
- (770) 638-8446
- Fax
- (770) 806-0901
- NPI assigned
- Oct 10, 2006
- Last updated
- May 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 039681 | GA | Primary |
Addresses
Primary practice location
5185 Peachtree Pkwy Ste 300
Peachtree Corners, GA 30092-6543
Mailing address
5185 Peachtree Pkwy Ste 300
Peachtree Corners, GA 30092-6543
Phone (770) 638-8446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000679753D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039681 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Center for Female Health LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Norcross, GA
- NPI 1225287915
-
- Obstetrics & Gynecology Physician
- Decatur, GA
- NPI 1295027753
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1356438246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5185 PEACHTREE PKWY STE 300",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300926543",
"telephone_number": "770-638-8446",
"fax_number": "770-806-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5185 PEACHTREE PKWY STE 300",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300926543",
"telephone_number": "770-638-8446",
"fax_number": "770-806-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LYNETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "039681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000679753D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.