DR. THADDEUS KEDRON LYNN M.D.
NPI 1114182458
Family Medicine in Atlanta, GA

Q: What is Thaddeus Lynn's NPI number?

The NPI number for Thaddeus Lynn is 1114182458. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Q: What is Thaddeus Lynn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thaddeus Lynn was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA 11D2107690 · Waiver

8495 DUNWOODY PL, BUILDING 9, SUITE 100, ATLANTA, GA 30350(770) 817-8423(770) 817-8424 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Thaddeus Kedron Lynn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THADDEUS KEDRON LYNN M.D. (NPI 1114182458) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (059670) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 19, 2028, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114182458

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THADDEUS KEDRON LYNNCredential: M.D.

Location Address8495 DUNWOODY PL, BUILDING 9, SUITE 100Atlanta, GA 30350-3321

Mailing Address8495 Dunwoody Pl, Building 9, Suite 100Atlanta, GA 30350-3321 · (770) 817-8423 · Fax (770) 817-8424

Phone(770) 817-8423

Fax(770) 817-8424

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 25, 2008

Last NPPES UpdateApril 29, 2015

✔ NPI 1114182458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 059670✔ Licensed in NY · 048

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8495 DUNWOODY PL, Atlanta, GA 30350

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thaddeus Kedron Lynn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941456180

PECOS Enrollment IDI20120803000473

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2107690

Thaddeus K Lynn, MD PC · Atlanta, GA

Active · expires Jan 19, 2028

CLIA Number11D2107690

Laboratory TypePhysician Office

Certificate Effective DateJanuary 20, 2026

Certificate Expiration DateJanuary 19, 2028

Laboratory DirectorThaddeus K. Lynn

Laboratory Phone(770) 817-8423

Laboratory LocationThaddeus K Lynn, MD PC8495 Dunwoody Place Bldg 9 Ste 100, Atlanta, GA 30350

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THADDEUS K LYNN, M.D., P.C.

Family Medicine

8495 DUNWOODY PL, BUILDING 9, SUITE 100
ATLANTA, GA 30350

Fulton County (770) 817-8423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaddeus Lynn's NPI number?

The NPI number for Thaddeus Lynn is 1114182458. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Thaddeus Lynn located?

Thaddeus Lynn practices at 8495 Dunwoody Pl Building 9, Suite 100, Atlanta, GA 30350. The listed phone number is (770) 817-8423.

What is Thaddeus Lynn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thaddeus Lynn enrolled in Medicare?

Yes. Thaddeus Lynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Thaddeus Lynn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2107690) is associated with this NPI, valid through January 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thaddeus Lynn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thaddeus Lynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thaddeus Lynn was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.