Lincoln Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LINCOLN MEDICAL GROUP

Practice address

108 Medical Center Blvd
Suite 150
Fayetteville, TN 37334

Phone

(931) 433-1105

Fax

(931) 433-1171

NPI assigned

Feb 17, 2010

Last updated

Mar 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert M Lonis

Title

Cfo

Phone

(931) 438-7455

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Medical Ob/Gyn Clinic Former legal business name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21536/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Mitchell Bess, M.D.

  • Surgery Physician
  • Madison, AL
  • NPI 1194187260
  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1578885620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 150",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "37334",
            "telephone_number": "931-433-1105",
            "fax_number": "931-433-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEDICAL CENTER BLVD",
            "address_2": "SUITE 150",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "37334",
            "telephone_number": "931-433-1105",
            "fax_number": "931-433-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "LONIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-438-7455"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Medical Ob/Gyn Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lincoln Medical Center Hospitalist
• Lincoln Medical Center OBGYN Clinic
• Lincoln Medical Center Orthopedic Clinic (Lincoln Medical Center)
• Lincoln Medical Center Orthopedic Clinic (Premier Orthopedic Associates)
• Lincoln Medical Center Surgical Clinic
• Lincoln Medical Home Health & Hospice
• Lincoln Medical Home Health & Hospice
• Lincoln Pharmacy Inc
• Lincoln Pharmacy Inc - LTC
• Tammie Elaine Litchford, RN

• Specialist in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.