Individual provider Active NPI

Sean R Lindsey, M.D.

  • Internal Medicine Physician
  • Clarkston, GA
National Provider Identifier
1437418829
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
078484 Issued in GA
Practice address
4122 E Ponce de Leon Ave Ste 5
Clarkston, GA 30021-1838
Phone
(470) 799-0044
Fax
(470) 799-0045
NPI assigned
May 7, 2012
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54503 TN
Internal Medicine Physician 207R00000X 078484 GA Primary
Pediatrics Physician 208000000X 078484 GA
Pediatrics Physician 208000000X 54503 TN

Addresses

Primary practice location

4122 E Ponce de Leon Ave Ste 5
Clarkston, GA 30021-1838

Mailing address

PO Box 1157
Clarkston, GA 30021-7157

Other identifiers 1

IdentifierTypeStateIssuer
003194779FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20171221000555 GA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pediatric Medicine 1355634379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Pediatric Medicine
Education
University of Kentucky College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Ethne Health, IncGroup PAC ID 5092054940, 6 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

980 Rowland St
Suite 4190
Clarkston, GA 30021-2203
Phone (470) 799-0044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ethne Health CurrentSince Oct 1, 2018 Accepting new patients
Ethne Health, Inc Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Dekalb Medical Center, Inc. Past Accepting new patients
Dekalb Medical Psych Unit Past Accepting new patients

Locations

4122 E Ponce de Leon Ave
Ste 5
Clarkston, GA 30021
Phone (404) 294-8385

980 Rowland St
#4190
Clarkston, GA 30021
Phone (470) 799-0044

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18426/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sean.lindsey.1@18426.direct.athenahealth.com
  • Direct secure messaging: slindsey45732@direct.emory.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ethne HealthClarkston, GA, CCN C21034 Federally qualified health center Corporate Officer Nov 17, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1437418829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1157",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300217157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 E PONCE DE LEON AVE STE 5",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211838",
            "telephone_number": "470-799-0044",
            "fax_number": "470-799-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "SEAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "54503",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "078484",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "078484",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "54503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003194779F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, GA

Sources for this page

Verify at the official NPI Registry.