Douglas A Linville, M.D.

Key facts

NPI

1174590780

Entity type

Individual (NPI type 1)

Primary specialty

Orthopaedic Surgery Physician 207X00000X

License

MD33869 (TN)

Practice address

3240 Northeast Expressway
Suite 100
Atanta, GA 30341-3976

Phone

(404) 480-9330

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 7

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.

• Spine Specality Center PLLC Medical-Surgical Clinical Nurse Specialist · Memphis, TN · NPI 1710088463
  NPD Authorized official
• Barbour Orthopaedics & Sports Medicine PC Sports Medicine (Orthopaedic Surgery) Physician · Lawrenceville, GA · NPI 1326679671
  NPD (past)
• Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery Physician · Atlanta, GA · NPI 1568781631
  NPD (past) ORTHOPAEDIC SURGERY
• Barbour Orthopaedics & Sports Medicine PC Sports Medicine (Orthopaedic Surgery) Physician · Atlanta, GA · NPI 1780215038
  NPD (past)
• Campbell Clinic, PC Orthopaedic Surgery Physician · Germantown, TN · NPI 1003835141
  NPD (past) ORTHOPAEDIC SURGERY
• CC Bpci PLC Orthopaedic Surgery Physician · Germantown, TN · NPI 1881387330
  NPD (past) ORTHOPAEDIC SURGERY
• Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 4, 2024.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1174590780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 NORTHEAST EXPRESSWAY",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 NORTHEAST EXPRESSWAY",
            "address_2": "SUITE 100",
            "city": "ATANTA",
            "state": "GA",
            "postal_code": "303413976",
            "telephone_number": "404-480-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "80785",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "MD33869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125519",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT DME",
            "identifier": "4922880001",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3854143",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4036605",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3377615",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}