Active NPI
Carol Ingram Lynn, MD
- Gynecology Physician
- Collierville, TN
National Provider Identifier
1881619989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25604
- Practice address
- 2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618 - Phone
- (901) 755-2900
- Fax
- (901) 755-2975
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25604 | TN | |
| Gynecology Physician | 207VG0400X | 25604 | TN | Primary |
Addresses
Primary practice location
2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618
Mailing address
2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618
Phone (901) 755-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 14, 2014 through Nov 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol I. Lynn, MD Gynecology, PLLC | Gynecology | Past | Accepting new patients |
Interoperability endpoints
- clynn24320@mlh.direct-ci.com
- https://fhir4.healow.com/fhir/r4/HGAGBD/Endpoint/HGAGBD
Organizations & group practices 1
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.
-
- Gynecology Physician
- Germantown, TN
- NPI 1053500231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1881619989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 W POPLAR AVE STE 110",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380170618",
"telephone_number": "901-755-2900",
"fax_number": "901-755-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 W POPLAR AVE STE 110",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380170618",
"telephone_number": "901-755-2900",
"fax_number": "901-755-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "CAROL",
"middle_name": "INGRAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "25604",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "25604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.