Individual provider Active NPI

Kenneth P Lynch III, M.D.

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1881654648
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
052598 Issued in GA
Practice address
598 Nancy St NW
Suite 100
Marietta, GA 30060-1362
Phone
(770) 952-8899
NPI assigned
Mar 24, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 052598 GA Primary
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 052598 GA

Addresses

Primary practice location

598 Nancy St NW
Suite 100
Marietta, GA 30060-1362

Mailing address

598 Nancy St NW
Suite 100
Marietta, GA 30060-1362
Phone (770) 952-8899

Other identifiers 1

IdentifierTypeStateIssuer
914522749AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000719 GA Practitioner - Diagnostic Radiology 1658305461 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians

Practice addresses (Care Compare)

1120 Wellstar Way
Holly Springs, GA 30114-8929
Phone (678) 239-0420

2450 Old Milton Pkwy
Suite 101
Alpharetta, GA 30009-2108
Phone (678) 239-0420

2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (770) 732-4000

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

3747 Roswell Rd
Marietta, GA 30062-6215
Phone (470) 956-8765

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052598GAMDDiagnostic Neuroimaging (Radiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia LLC CurrentSince Jan 4, 2016 Accepting new patients
Pro Radiology, LLC CurrentSince Jul 21, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jan 1, 2016 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Aug 1, 2008 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 1, 2016 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Jun 26, 2018 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Jun 2, 2018 Accepting new patients
American Health Imaging of Georgia, LLC Past Accepting new patients
Pure Healthcare of Georgia LLC PastSince Mar 1, 2022 Accepting new patients
Ty Cobb Healthcare System Past Accepting new patients
Reddy Solutions Inc Past Accepting new patients
Ty Cobb Healthcare System, Inc Past Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients
Reddy Solutions, Inc. Diagnostic Radiology Past Accepting new patients
Diagnostic Systems Inc Diagnostic Radiology PastSince Jan 1, 2019 Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Lagrange Troup County Hospital Authority Past Accepting new patients

Locations (25 of 64)

4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079

12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574

2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286

3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071

1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950

1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

1050 Haw Creek Pkwy
#100
Cumming, GA 30041
Phone (678) 845-2150

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (770) 428-4486

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

307 W Robinson Ave
Grovetown, GA 30813

144 Bill Carruth Pkwy
Hiram, GA 30141

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

1120 Wellstar Way
Holly Springs, GA 30114

1180 Ernest W Barrett Pkwy NW
#100
Kennesaw, GA 30144
Phone (770) 644-1274

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1881654648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 NANCY ST NW",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601362",
            "telephone_number": "770-952-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 NANCY ST NW",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601362",
            "telephone_number": "770-952-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KENNETH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "052598",
            "primary": true
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "GA",
            "license": "052598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914522749A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.