NPIMap

Individual provider Active NPI

Lynn D. Killon, P.A.-C.

  • Physician Assistant
  • Jonesville, NC
National Provider Identifier
1669588901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0101114 Issued in NC
Practice address
4000 S Swaim Street Ext
Jonesville, NC 28642-9418
Phone
(336) 835-6300
Fax
(336) 835-4761
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0101114 NC Primary

Addresses

Primary practice location

4000 S Swaim Street Ext
Jonesville, NC 28642-9418

Mailing address

4000 S Swaim Street Ext
Jonesville, NC 28642-9418
Phone (336) 835-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000108 NC Practitioner - Physician Assistant 4082509575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

4000 S Swaim St Ext
Jonesville, NC 28642-9418
Phone (336) 835-6300

770 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone (336) 765-5250

905 Phillips Ave
High Point, NC 27262-7075
Phone (336) 802-2040

Medical Ctr Blvd
Winston Salem, NC 27157-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0101114NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Apr 8, 2013 Accepting new patients
Cornerstone Health Care LLC CurrentSince Apr 8, 2013 Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients

Locations

113 N Crutchfield St
Dobson, NC 27017
Phone (336) 386-4452

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

4000 S Swaim Street Ext
Jonesville, NC 28642
Phone (336) 835-6300

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: lkillon2755468@carolinashealthcaresystem.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669588901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S SWAIM STREET EXT",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286429418",
            "telephone_number": "336-835-6300",
            "fax_number": "336-835-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S SWAIM STREET EXT",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286429418",
            "telephone_number": "336-835-6300",
            "fax_number": "336-835-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLON",
        "first_name": "LYNN",
        "middle_name": "D.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0101114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, NC

Sources for this page

Verify at the official NPI Registry.