Organization Active NPI

Lymphworks

  • Occupational Therapist
  • Buford, GA
National Provider Identifier
1992431969
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LYMPHWORKS
Practice address
145 Victor Dr
Buford, GA 30518-2563
Phone
(770) 310-8100
Fax
(833) 760-2107
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Samantha Cannon Martin, MSOT/L, CLT, CLWT
Title
Owner
Phone
(770) 310-8100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary
Home Health Agency 251E00000X
Health Service Clinic/Center 261QH0100X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

145 Victor Dr
Buford, GA 30518-2563

Mailing address

145 Victor Dr
Buford, GA 30518-2563
Phone (770) 310-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenaheath.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

115 E Main St
Ste A1BBK
Buford, GA 30518
Phone (770) 310-8100

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1992431969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 VICTOR DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305182563",
            "telephone_number": "770-310-8100",
            "fax_number": "833-760-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 VICTOR DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305182563",
            "telephone_number": "770-310-8100",
            "fax_number": "833-760-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "CANNON MARTIN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-310-8100",
        "authorized_official_credential": "MSOT/L, CLT, CLWT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenaheath.net",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 Victor Drive",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.