Carla Lyn-Boswell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD40403 Issued in TN

Practice address

4066 Summer Ave
Memphis, TN 38122-5225

Phone

(901) 452-7391

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carla Lyn Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medicos General PLLC

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1952402885
  Medicare reassignment NPD
• The Camellia Foundation

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1609169713
  Medicare reassignment NPD
• Saint Francis Physician Network, LLC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1295258002
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1366472144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285049",
            "telephone_number": "901-383-8889",
            "fax_number": "901-384-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225225",
            "telephone_number": "901-452-7391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Park Ave Ste 728B",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38119",
            "country_code": "US",
            "telephone_number": "901-685-2311",
            "fax_number": "901-761-4062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYN-BOSWELL",
        "first_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD40403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "LYN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helen Ly, M.D.
• Lexie Ly, PHARMD
• Holly Lydigsen, DNP, CPNP-PC
• Barbara B Lyle, COTA/L
• Joseph Kimbrough Lyle, D.D.S.
• Donna Jo Lynch-Smith, DNP ACNP
• Ashley Marie Lynch
• Charles Bruce Lynch
• Morgan Kathleen Lynch, MD
• Samantha D Lynch, FNP-C

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.