Active NPI
Christina P Lynn, MD
- Medical Specialty Clinic/Center
- Mount Carmel, IL
National Provider Identifier
1417356437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 35441
- Legal business name
- CHRISTINA P LYNN, MD
- Practice address
- 1418 College Dr
Mt Carmel, IL 62863 - Phone
- (843) 839-6122
- NPI assigned
- Aug 14, 2014
- Last updated
- Jun 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christina Pitts Lynn, M.D.
- Title
- Psychiatrist
- Phone
- (843) 839-6122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 35441 | SC | Primary |
Addresses
Primary practice location
1418 College Dr
Mt Carmel, IL 62863
Mailing address
1229 38TH Ave N # 411
Myrtle Beach, SC 29577-1313
Phone (843) 839-6122
Other practice location 1
2360 Rockmart Hwy
Cedartown, GA 30125-6029
Phone (770) 749-4290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68906 | Other | GA | MD PSYCHOLOGY |
| 036.151498 | Other | IL | PHYS & SURGEON |
National Provider Directory
National Provider DirectoryLocations
3612 Landmark Dr
Columbia, SC 29204
Phone (803) 606-8885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623196800000",
"number": "1417356437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 38TH AVE N # 411",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295771313",
"telephone_number": "843-839-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 COLLEGE DR",
"city": "MT CARMEL",
"state": "IL",
"postal_code": "62863",
"telephone_number": "843-839-6122"
}
],
"practiceLocations": [
{
"address_1": "2360 Rockmart Hwy",
"address_purpose": "LOCATION",
"city": "Cedartown",
"state": "GA",
"postal_code": "301256029",
"country_code": "US",
"telephone_number": "770-749-4290",
"fax_number": "770-749-8574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHRISTINA P LYNN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-14",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "PITTS",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "843-839-6122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "SC",
"license": "35441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD PSYCHOLOGY",
"identifier": "68906",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYS & SURGEON",
"identifier": "036.151498",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Carmel, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.