Active NPI
Breanna Lynch
- Home Health Registered Nurse
- Dallas, GA
National Provider Identifier
1992493068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- PHCP01115
- Practice address
- 3754 Hiram Acworth Hwy Ste D
Dallas, GA 30157-3275 - Phone
- (678) 401-8325
- NPI assigned
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | PHCP01115 | GA | Primary |
Addresses
Primary practice location
3754 Hiram Acworth Hwy Ste D
Dallas, GA 30157-3275
Mailing address
531 Barbara CT
Forsyth, GA 31029-7377
Phone (470) 513-8648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHCP01115 | GA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L a & S Healthcare Solutions LLC | Home Health | Current | Accepting new patients |
| Mco Homecare Services LLC | Home Health | Current | Accepting new patients |
| L a & S Healthcare Solutions LLC | Home Health | Current | Accepting new patients |
Locations
3754 Hiram Acworth Hwy
Ste D
Dallas, GA 30157
Phone (678) 401-8325
Organizations & group practices 3
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.
-
- Home Health Registered Nurse
- Dallas, GA
- NPI 1184362287
-
- Home Health Agency
- Dallas, GA
- NPI 1447949375
-
- Home Health Agency
- Suwanee, GA
- NPI 1801570833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1992493068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 BARBARA CT",
"city": "FORSYTH",
"state": "GA",
"postal_code": "310297377",
"telephone_number": "470-513-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 HIRAM ACWORTH HWY STE D",
"city": "DALLAS",
"state": "GA",
"postal_code": "301573275",
"telephone_number": "678-401-8325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "BREANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-26",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "PHCP01115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.