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
Hospital & facility affiliations 6
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
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
- Enhabit Home Health
- Coliseum Medical Centers, LLC, Dba
- Atrium Health Navicent the Medical Center
- Navicent Health Baldwin
- Piedmont Macon North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070326000254 | GA | Practitioner - Family Practice | 5294839668 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040299 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gray Family Health LLC | Family Medicine | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00664023C | Medicaid | GA |
NPI Registry JSON
{
"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
- Alexis Private Home Care, Inc.
- Jennie Carlene Allen
- Amedisys Georgia, L.L.C.
- Aml Medical LLC
- Meredi A Anders
- Azalea Medical Transport LLC
- Andrew L Barrett
- Madison Bennett
- Kimberly Lynn Bershadsky
- Dionna Best
All providers in Gray, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.