Individual provider Active NPI

Takesha Denise Lynch

  • Family Nurse Practitioner
  • Nashville, NC
National Provider Identifier
1841067154
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12230105 Issued in NC
Practice address
2371 Poultry LN
Nashville, NC 27856-8367
Phone
(252) 813-8184
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12230105 NC Primary

Addresses

Primary practice location

2371 Poultry LN
Nashville, NC 27856-8367

Mailing address

2371 Poultry LN
Nashville, NC 27856-8367
Phone (252) 813-8184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509000106 NC Practitioner - Nurse Practitioner 2466893433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians
CS Pacs 3 Southeast LLCGroup PAC ID 8426404302, 129 clinicians

Practice addresses (Care Compare)

2910 Macgregor Downs Rd
Greenville, NC 27834-8257
Phone (910) 521-1273

515 Barbour Rd
Smithfield, NC 27577-7698
Phone (919) 934-6017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12230105NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of North Carolina, PC CurrentSince Apr 22, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Apr 22, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Apr 22, 2024 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2910 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 375-8952

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

515 Barbour Rd
Smithfield, NC 27577
Phone (919) 227-6261

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1841067154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 POULTRY LN",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278568367",
            "telephone_number": "252-813-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 POULTRY LN",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278568367",
            "telephone_number": "252-813-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "TAKESHA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F12230105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, NC

Sources for this page

Verify at the official NPI Registry.