KELLY GROMMERSCH LYNCH (NPI# 1295110310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295110310 |
| Entity Type | Individual |
| Full Name | KELLY GROMMERSCH LYNCH |
| Credential | NP |
| Practice Address |
3400c Old Milton Pkwy Ste 290 Alpharetta GA 30005-4438 |
| Mailing Address |
Northside Hospital - Managed Care Department 1000 Johnson Ferry Rd Ne Atlanta Atlanta GA 30342-3034 |
| Practice Telephone | 7706674343 |
| Practice Fax Number | 7707720937 |
| Mailing Telephone | 4048518097 |
| Mailing Fax Number | 4042508010 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 19544 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN208756 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
19544 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3344 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841508702 | Kelly S Lynch | Physical Therapist | 4457 Bethany Rd # J, Mason, OH 45040-8128 | 2010-09-14 |
| 1821057258 | Kelly Robert Lynch | Physical Therapist | 600 E Main St, Suite 200, Watertown, WI 53094-3827 | 2006-03-23 |
| 1568078368 | Kelly Lynch | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-09-17 |
| 1003391566 | Kelly Lucille Lynch | Counselor | 414 Front St N, Issaquah, WA 98027-2914 | 2018-10-01 |
| 1255811170 | Kelly M Lynch | Nurse Practitioner | 500 University Dr, Hershey, PA 17033-2360 | 2018-08-20 |
| 1619457967 | Kelly Madeline Lynch | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2018-08-16 |
| 1982195715 | Kelly Lynch | Case Manager/Care Coordinator | 695 South St Ste 6, Chardon, OH 44024-1474 | 2018-05-29 |
| 1851893556 | Kelly Moran Lynch | Case Manager/Care Coordinator | 525 Nw Lake Whitney Pl Ste 102, Port Saint Lucie, FL 34986-1605 | 2018-03-08 |
| 1811359946 | Kelly Lynch | Occupational Therapist | 2002 E Robinson St, Norman, OK 73071-7420 | 2016-03-28 |
| 1356685440 | Kelly Marie Lynch | Occupational Therapist | 600 N Bradley Rd, Lake Forest, IL 60045-1020 | 2012-11-15 |
| Street Address |
3400C OLD MILTON PKWY STE 290 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740256585 | James E. Bean Jr. | Physician Assistant | 3400c Old Milton Pkwy Ste 290, Alpharetta, GA 30005-4438 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225641277 | Nwanyinnaya L. Alozie | Nurse Practitioner | 14371 Club Cir, Alpharetta, GA 30004-4363 | 2020-08-28 |
| 1114544749 | Gisele Fernandes Cavalheiro | Nurse Practitioner | 10320 Virginia Pine Ln, Alpharetta, GA 30022-5810 | 2020-06-30 |
| 1538793443 | Corinne Marcia Manswell | Nurse Practitioner | 2000 Pillargate Dr, Alpharetta, GA 30022-5547 | 2020-02-29 |
| 1003448887 | Kathleen Marie Sklivagkos | Nurse Practitioner | 2710 Old Milton Pkwy Ste 150, Alpharetta, GA 30009-2223 | 2020-02-10 |
| 1174167639 | Nicola Natalie Conduah | Nurse Practitioner | 740 Milton Oaks Dr, Alpharetta, GA 30022-8197 | 2019-10-29 |
| 1518517275 | Kimberly Vargulic | Nurse Practitioner | 1126 Preakness Dr, Alpharetta, GA 30022-6846 | 2019-09-16 |
| 1063078186 | Kerry Anne Martin | Nurse Practitioner | 9925 Haynes Bridge Rd Ste 320, Alpharetta, GA 30022-8548 | 2019-05-14 |
| 1922563360 | Mustafa Mukati | Nurse Practitioner | 715 Pressing Dr, Alpharetta, GA 30004-5951 | 2019-02-08 |
| 1861919136 | Emily Elizabeth Shaw | Nurse Practitioner | 7150 Fawn Lake Dr, Alpharetta, GA 30005-3648 | 2017-08-27 |
| 1669903159 | Jessica Ifeoma Ezika | Nurse Practitioner | 700 Venue Way, Apt. 7108, Alpharetta, GA 30005-4525 | 2017-03-25 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
Please comment or provide details below to improve the information on KELLY GROMMERSCH LYNCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.