Individual provider Active NPI

James H Lin, M.D.

  • Pediatrics Physician
  • Duluth, GA
National Provider Identifier
1215950944
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
040721 Issued in GA
Practice address
3500 Duluth Park LN
Suite 220
Duluth, GA 30096-3230
Phone
(678) 878-2808
Fax
(678) 878-2805
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 040721 GA Primary

Addresses

Primary practice location

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

Mailing address

3500 Duluth Park LN
Suite 220
Duluth, GA 30096-3230
Phone (678) 878-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822002361 GA Practitioner - Pediatric Medicine 8628327780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Duluth Children'S Medicine, PC Pediatrics Current Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Aug 1, 2018 Accepting new patients
Gwinnett Medical Group, Inc Pediatrics Past Accepting new patients

Locations

3500 Duluth Park Ln
Ste 220
Duluth, GA 30096
Phone (678) 417-0332

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1215950944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "LIN",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "040721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.