Active NPI
Lauren S Lynch, PA
- Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106673
- Practice address
- 1301 Palm Ave Ste 700
Jacksonville, FL 32207-8432 - Phone
- (904) 202-7300
- Fax
- (904) 202-2754
- NPI assigned
- Jul 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | PA9106673 | FL | Primary |
Addresses
Primary practice location
1301 Palm Ave Ste 700
Jacksonville, FL 32207-8432
Mailing address
PO Box 746654
Atlanta, GA 30374-6654
Phone (904) 202-2092
Other practice location 1
14546 Old Saint Augustine Rd Ste 407
Jacksonville, FL 32258-5473
Phone (904) 262-3372
Other names 1
- Lauren Sikes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106673 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients | |
| Baptist MD Anderson Cancer Physicians Inc | Current | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Current | Accepting new patients |
Locations
14546 Old St Augustine Rd
Ste 407
Jacksonville, FL 32258
Phone (904) 262-3372
1301 Palm Ave
Ste 700
Jacksonville, FL 32207
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
Interoperability endpoints
- llynch173136@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 4
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.
-
- Dermatology Physician
- Sebastian, FL
- NPI 1083872535
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1538593124
-
- Surgery Physician
- Jacksonville, FL
- NPI 1356119309
-
- Dermatology Physician
- Maitland, FL
- NPI 1710145271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1578819793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746654",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746654",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PALM AVE STE 700",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078432",
"telephone_number": "904-202-7300",
"fax_number": "904-202-2754"
}
],
"practiceLocations": [
{
"address_1": "14546 Old Saint Augustine Rd Ste 407",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322585473",
"country_code": "US",
"telephone_number": "904-262-3372",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH",
"first_name": "LAUREN",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-25",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "SIKES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.