Lynchburg Family Medicine and Minor Emergency Center PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0872 Issued in TN

Legal business name

LYNCHBURG FAMILY MEDICINE AND MINOR EMERGENCY CENTER PC

Practice address

12 Magnolia Dr
Lynchburg, TN 37352-8373

Phone

(931) 759-5044

Fax

(931) 759-5042

NPI assigned

Aug 24, 2005

Last updated

Sep 22, 2008By 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

Todd Dwight Stegall, PA C

Title

PA C

Phone

(931) 759-5044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1659364669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA DR",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "373528373",
            "telephone_number": "931-759-5044",
            "fax_number": "931-759-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAGNOLIA DR",
            "city": "LYNCHBURG",
            "state": "TN",
            "postal_code": "373528373",
            "telephone_number": "931-759-5044",
            "fax_number": "931-759-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCHBURG FAMILY MEDICINE AND MINOR EMERGENCY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "STEGALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PA C",
        "authorized_official_telephone_number": "931-759-5044",
        "authorized_official_credential": "PA C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "0872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4090439",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dee Ann Flippo, LPN
• Emma Gammill
• Robert W Gray, DPH
• Deborah Hart, PT
• Highlands Consulting LLC
• Lynchburg Medical Clinic, LLC
• Lynchburg Medical Investors, LLC (Lynchburg Nursing Center)
• Judy Carol Merritt, MS, RD, LDN, CDE
• Metropolitan Lynchburg-Moore County (Metro Moore County Ambulance Service)
• Robert Price, PT

• Physician Assistant in Lynchburg, TN
• Providers in Lynchburg, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.