Lynn D. Killon, P.A.-C.
Individual provider Active NPI Physician Assistant · Jonesville, NC
NPI 1669588901 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669588901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0101114 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- 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 LLC
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
- North Carolina Baptist Hospital
- Hugh Chatham Memorial Hospital
- Northern Regional Hospital
- Novant Health Forsyth Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040216000108 | NC | Practitioner - Physician Assistant | 4082509575 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101114 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current |
Accepting new patients | |
| Cornerstone Health Care LLC | Current |
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
- lkillon2755468@carolinashealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0101114 | NC | Yes |
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
Other providers in Jonesville, NC
- Hugh Chatham Memorial Hospital, Inc
- Hugh Chatham Memorial Hospital, Inc.
- Stefan Daniel Jones
- Jonesville Family Medical Center, P.a.
- Mary Louise Keller
- Kim Marie Kinsley
- Stephanie Ann Knight
- Lam S. Chu, D.D.S., P.a.
- Jacquelinne Aguilera Maya
- Jennifer Dickerson McDonald
All providers in Jonesville, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.