Tara S Lynch, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN239727 Issued in GA

Practice address

3305 Breckinridge Blvd Ste 116
Duluth, GA 30096-4932

Phone

(770) 495-9775

Fax

(770) 495-9745

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Mountains Community Services

  • Mental Health Counselor
  • Cumming, GA
  • NPI 1063522035

  Single Specialty

  Medicare reassignment NPD
• Manna Scholarship Fund Inc

  dba Manna Treatment

  • Adult Mental Health Clinic/Center
  • Duluth, GA
  • NPI 1083089239

  Single Specialty

  NPD
• Manna Treatment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, GA
  • NPI 1225961899
  NPD (past)

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1548728579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 HADDON HALL CT",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197305",
            "telephone_number": "479-936-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 BRECKINRIDGE BLVD STE 116",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964932",
            "telephone_number": "770-495-9775",
            "fax_number": "770-495-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "TARA",
        "middle_name": "S",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN239727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (For Eyes (Cm219))
• Luxottica of America Inc. (LensCrafters At Macy's #8492)
• Luxottica Retail North America Inc (Sears Optical #0660)
• Karina Tan Lydia, PMHNP
• Lyhka5 LLC (Anna's Duluth Pharmacy)
• M. a. Health Services, Inc.
• Macagain
• Andrew James Macfarlane, PTA
• Symone Mack, RBT
• Susanne Mackinnon, RD

• Psychiatric/Mental Health Nurse Practitioner in Duluth, GA
• Providers in Duluth, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.