Lynn's Family Practice, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LYNN'S FAMILY PRACTICE, PC

Practice address

802 Towne Park Dr
Rincon, GA 31326-5151

Phone

(912) 826-1220

NPI assigned

Jan 22, 2010

Last updated

Jan 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michell Lynn

Title

Practice Admin

Phone

(912) 826-1220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Willert Howard Lynn III, MD

  • Family Medicine Physician
  • Rincon, GA
  • NPI 1174509145
  Medicare reassignment NPD

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1871824383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TOWNE PARK DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265151",
            "telephone_number": "912-826-1220",
            "fax_number": "912-653-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 TOWNE PARK DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265151",
            "telephone_number": "912-826-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN'S FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "MICHELL",
        "authorized_official_title_or_position": "PRACTICE ADMIN",
        "authorized_official_telephone_number": "912-826-1220"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamisha Laquinna Louder
• Loveonesmedicalcourier, LLC
• Lowcountry Medical Supplies, LLC
• Lumina Counseling LLC
• Willert Howard Lynn III, MD
• Erin Katherine Mancil I
• Amelia Laura Manley, PT
• Pamela C Martin
• Maria C Mascolo, MD
• Callie Marilyn Mathers, DPT

• Family Medicine Physician in Rincon, GA
• Providers in Rincon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.