Individual provider Active NPI

Sharon A Lynch-Miller, MD

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
National Provider Identifier
1750490504
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042342 Issued in GA
Practice address
1279 Highway 54 W
Suite 220
Fayetteville, GA 30214-4552
Phone
(770) 991-2200
Fax
(770) 991-1341
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042342 GA Primary

Addresses

Primary practice location

1279 Highway 54 W
Suite 220
Fayetteville, GA 30214-4552

Mailing address

1279 Highway 54 West
Suite 220
Fayetteville, GA 30214-4552
Phone (770) 991-2200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000842 GA Practitioner - Obstetrics/Gynecology 2567446305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042342GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Crescent Women's Healthcare PC Obstetrics & Gynecology CurrentSince Oct 1, 1997 Accepting new patients
Women's Community Care, PC Past Accepting new patients

Locations

1279 Highway 54 W
Ste 220
Fayetteville, GA 30214
Phone (770) 991-2200

Interoperability endpoints

  • Direct secure messaging: slmiller@scwhobgyn.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1750490504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 HIGHWAY 54 WEST",
            "address_2": "SUITE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144552",
            "telephone_number": "770-991-2200",
            "fax_number": "770-991-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 HIGHWAY 54 W",
            "address_2": "SUITE 220",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144552",
            "telephone_number": "770-991-2200",
            "fax_number": "770-991-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH-MILLER",
        "first_name": "SHARON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "042342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.