Active NPI
Cynthia Lynch Garstka
- Case Manager/Care Coordinator
- Decatur, GA
National Provider Identifier
1790349017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 605 Ansley St
Decatur, GA 30030-3611 - Phone
- (404) 234-0157
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
605 Ansley St
Decatur, GA 30030-3611
Mailing address
605 Ansley St
Decatur, GA 30030-3611
Phone (404) 234-0157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029297957 | Other | GA | GEORGIA STATE DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1790349017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 ANSLEY ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303611",
"telephone_number": "404-234-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 ANSLEY ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303611",
"telephone_number": "404-234-0157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARSTKA",
"first_name": "CYNTHIA",
"middle_name": "LYNCH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-23",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE DRIVERS LICENSE",
"identifier": "029297957",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.