Organization Active NPI

Christina P Lynn, MD

  • Medical Specialty Clinic/Center
  • Mount Carmel, IL
National Provider Identifier
1417356437
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35441 Issued in SC
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
68906OtherGAMD PSYCHOLOGY
036.151498OtherILPHYS & SURGEON

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.