Duluth Children'S Medicine, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

40721 Issued in GA

Legal business name

DULUTH CHILDREN'S MEDICINE, PC

Practice address

3500 Duluth Park LN
Suite 220
Duluth, GA 30096-3230

Phone

(678) 878-2808

Fax

(678) 878-2805

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

James LinNPI 1215950944

Title

President

Phone

(678) 878-2808

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: james.lin@dcm.gadirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James H Lin, M.D.

  • Pediatrics Physician
  • Duluth, GA
  • NPI 1215950944
  NPD Authorized official
• Nhung Hoang

  • Physician Assistant
  • Duluth, GA
  • NPI 1174294524
  NPD (past)
• Rachel Kathleen Poage, NP

  • Pediatric Nurse Practitioner
  • Duluth, GA
  • NPI 1124598123
  NPD (past)

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1134592983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3303",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960057",
            "telephone_number": "678-878-2808",
            "fax_number": "678-878-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DULUTH PARK LN",
            "address_2": "SUITE 220",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963230",
            "telephone_number": "678-878-2808",
            "fax_number": "678-878-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH CHILDREN'S MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-878-2808"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "40721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dream Pharm Inc
• Dream Pharmacy, Inc.
• Dtaann Behavioral Services LLC
• Juliana Ducuara, RBT
• Duluth Acupuncture, LLC
• Duluth Chiropractic & Acupuncture Clinic Dcac
• Duluth Dental and Dentures LLC
• Duluth Dental Associates
• Duluth Dental Club, PC
• Duluth Dental Group

• Pediatrics Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.