S Kendra Thomaston Lynch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

060403 Issued in GA

Practice address

1842 US Highway 84 W
Cairo, GA 39827-4224

Phone

(229) 397-5433

Fax

(229) 397-0272

NPI assigned

Aug 3, 2006

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology, Pediatric Medicine

Education

Mercer University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Life Center LLCGroup PAC ID 1557606779, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wellness Life Center LLC

  • Family Medicine Physician
  • Cairo, GA
  • NPI 1255815981
  Medicare reassignment Care Compare group
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1649288077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 US HIGHWAY 84 W",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398274224",
            "telephone_number": "229-397-5433",
            "fax_number": "229-397-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 US HIGHWAY 84 W",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398274224",
            "telephone_number": "229-397-5433",
            "fax_number": "229-397-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "S KENDRA",
        "middle_name": "THOMASTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "060403",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "60403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914171540A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifeway Training Institute Co
• Brittni Nicole Linton
• Robyn Ashley Long, D.O.
• Lumis C. Brown DDS
• Jonathan P Lynch, MD
• Lynettes Operations LLC
• Magictouchsouthernlivingllc (Magic Touch Private Home Care)
• Maria Zita F Magloire, MD
• Clair McCaskill, O.D.
• Brian Scott McLaughlin

• Family Medicine Physician in Cairo, GA
• Providers in Cairo, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.