Organization Active NPI

Savannah River Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Augusta, GA
National Provider Identifier
1801133699
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
024290 Issued in GA
Legal business name
SAVANNAH RIVER PLASTIC SURGERY
Practice address
820 St. Sebastian Way
Suite 1a
Augusta, GA 30901-2635
Phone
(706) 651-8400
Fax
(706) 651-8868
NPI assigned
Jan 14, 2013
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Dr. Billy P Lynn, MD
Title
Owner
Phone
(706) 651-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 024290 GA Primary

Addresses

Primary practice location

820 St. Sebastian Way
Suite 1a
Augusta, GA 30901-2635

Mailing address

820 St. Sebastian Way
Suite 1a
Augusta, GA 30901-2635
Phone (706) 651-8400

Other identifiers 1

IdentifierTypeStateIssuer
000445717AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1801133699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ST. SEBASTIAN WAY",
            "address_2": "SUITE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012635",
            "telephone_number": "706-651-8400",
            "fax_number": "706-651-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ST. SEBASTIAN WAY",
            "address_2": "SUITE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012635",
            "telephone_number": "706-651-8400",
            "fax_number": "706-651-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH RIVER PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-651-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GA",
            "license": "024290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000445717A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.