Individual provider Active NPI

Adam Colin Flynn, FNP-C

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1619559168
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN248789 Issued in GA
Practice address
2622 Dawson Rd
Albany, GA 31707-1609
Phone
(229) 496-2472
NPI assigned
Apr 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN248789 GA Primary

Addresses

Primary practice location

2622 Dawson Rd
Albany, GA 31707-1609

Mailing address

132 Alachua LN
Albany, GA 31707-1235
Phone (229) 938-2258

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518001481 GA Practitioner - Nurse Practitioner 0446669733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onesource Healthcare Group, LLCGroup PAC ID 4284864810, 12 clinicians

Practice addresses (Care Compare)

701 N Slappey Blvd
Albany, GA 31701-1413
Phone (229) 439-1950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.7 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN248789GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onesource Healthcare Group, LLC CurrentSince Jul 17, 2022 Accepting new patients
Onesource Healthcare Group, LLC CurrentSince Jul 17, 2022 Accepting new patients
Davis L Kinney DC PC Past Accepting new patients

Locations

701 N Slappey Blvd
Albany, GA 31701
Phone (229) 435-4747

Organizations & group practices 3

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.

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": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1619559168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ALACHUA LN",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071235",
            "telephone_number": "229-938-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071609",
            "telephone_number": "229-496-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ADAM",
        "middle_name": "COLIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-24",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.