Individual provider Active NPI

Esteban Lim Lim Jr., M.D.

  • Psychiatry Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1235238775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39394 Issued in GA
Practice address
700 City Hall Dr
Fort Oglethorpe, GA 30742-7802
Phone
(706) 638-5584
Fax
(706) 638-5585
NPI assigned
Sep 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 39394 GA Primary

Addresses

Primary practice location

700 City Hall Dr
Fort Oglethorpe, GA 30742-7802

Mailing address

223 Thorncrest Dr
Ringgold, GA 30736-2677
Phone (706) 638-5584

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
I20081027000571 GA Practitioner - Psychiatry 5092873604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11578 Hwy 27
Summerville, GA 30747-5873
Phone (706) 658-5580

12586 N Main St
Trenton, GA 30752-2227
Phone (706) 956-5526

501 Mize St
La Fayette, GA 30728-3346
Phone (706) 638-5580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39394GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lookout Mountain Community Services CurrentSince Jan 8, 2010 Accepting new patients
Lookout Mountain Community Services CurrentSince Jan 8, 2010 Accepting new patients
Lookout Mountain Community Services Current Accepting new patients

Locations

110 Hedekin Cir
Ft Oglethorpe, GA 30742
Phone (706) 866-5945

700 City Hall Dr
Ft Oglethorpe, GA 30742
Phone (706) 638-5584

501 Mize St
La Fayette, GA 30728
Phone (706) 638-5584

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235238775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 THORNCREST DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362677",
            "telephone_number": "706-638-5584",
            "fax_number": "706-638-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CITY HALL DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307427802",
            "telephone_number": "706-638-5584",
            "fax_number": "706-638-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ESTEBAN",
        "middle_name": "LIM",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "39394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.