Linda S Arnold, MD

Individual provider Active NPI Family Medicine Physician · Gray, GA

NPI 1194710293 · NPPES record last updated Apr 7, 2020

Key facts

NPI
1194710293
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
040299 (GA)
Practice address
260 W Clinton St
Gray, GA 31032-5430
Phone
(478) 986-4743
Fax
(478) 986-3921
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Mercer University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gray Family Health LLC (6 clinicians)

Practice addresses (Care Compare)

260 W Clinton St
Gray, GA 31032-5430
Phone (478) 986-4743

260 W Clinton St
Gray, GA 31032-5464

Hospital & facility affiliations

  • Amedisys Home Health of Macon Home health agency · Macon, GA · CCN 117093
  • Enhabit Home Health Home health agency · Macon, GA · CCN 117152
  • Coliseum Medical Centers, LLC, Dba Hospital · Macon, GA · CCN 110164
  • Atrium Health Navicent the Medical Center Hospital · Macon, GA · CCN 110107
  • Navicent Health Baldwin Hospital · Milledgeville, GA · CCN 110150
  • Piedmont Macon North Hospital Hospital · Macon, GA · CCN 110201

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100 (apm)
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070326000254 GA Practitioner - Family Practice 5294839668 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040299GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Family Health LLC Family Medicine Current
since Jan 31, 2008
Accepting new patients
Coliseum Health Group LLC Family Medicine Past Accepting new patients

Locations

110 Stone Brooke Dr
Gray, GA 31032
Phone (478) 621-2100

260 W Clinton St
Gray, GA 31032
Phone (478) 845-7462

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 040299 GA Yes

Addresses

Primary practice location

260 W Clinton St
Gray, GA 31032-5430

Mailing address

260 W Clinton St
Gray, GA 31032-5430
Phone (478) 986-4743

Other identifiers

IdentifierTypeStateIssuer
00664023CMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2020.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1194710293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W CLINTON ST",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325430",
            "telephone_number": "478-986-4743",
            "fax_number": "478-986-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W CLINTON ST",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325430",
            "telephone_number": "478-986-4743",
            "fax_number": "478-986-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00664023C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, GA

All providers in Gray, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.