Active NPI
Ernie E Lin, M.D.
- Pain Clinic/Center
- Augusta, GA
National Provider Identifier
1194994244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 040460
- Practice address
- 211 Pleasant Home Road
Suite F-3
Augusta, GA 30907-0559 - Phone
- (706) 855-5666
- Fax
- (706) 855-7248
- NPI assigned
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 040460 | GA | Primary |
Addresses
Primary practice location
211 Pleasant Home Road
Suite F-3
Augusta, GA 30907-0559
Mailing address
211 Pleasant Home Road
Suite F-3
Augusta, GA 30907-0559
Phone (706) 855-5666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25BDBQJ | Other | GA | MEDICARE PROVIDER NUMBER |
| P00063679 | Other | GA | MEDICARE RAILROAD |
| 52598825 | Other | GA | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040460 | GA | MD | Pain Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernie E Lin, MD, PC | Pain | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Clinic/Center
- Augusta, GA
- NPI 1962578898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1194994244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 PLEASANT HOME ROAD",
"address_2": "SUITE F-3",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309070559",
"telephone_number": "706-855-5666",
"fax_number": "706-855-7248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 PLEASANT HOME ROAD",
"address_2": "SUITE F-3",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309070559",
"telephone_number": "706-855-5666",
"fax_number": "706-855-7248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "ERNIE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "GA",
"license": "040460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "25BDBQJ",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00063679",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "52598825",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.