Individual provider Active NPI

David S Carlin, MD

  • Ophthalmology Physician
  • Snellville, GA
National Provider Identifier
1255322665
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
55109 Issued in GA
Practice address
2347 Lenora Church Rd
Snellville, GA 30078-3232
Phone
(740) 979-2020
Fax
(770) 978-3321
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 055109 GA
Ophthalmology Physician 207W00000X 55109 GA Primary

Addresses

Primary practice location

2347 Lenora Church Rd
Snellville, GA 30078-3232

Mailing address

2347 Lenora Church Rd
Snellville, GA 30078-3232
Phone (740) 979-2020

Other identifiers 1

IdentifierTypeStateIssuer
344337980AMedicaidGA

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
I20040930001033 GA Practitioner - Ophthalmology 8921077413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Carlin MD PCGroup PAC ID 4183693641, 10 clinicians

Practice addresses (Care Compare)

2377 Lenora Church Rd
Snellville, GA 30078-3232
Phone (770) 979-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as individual
Quality
96.28
Improvement activities
40
Cost
80.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055109GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Carlin MD PC Specialist CurrentSince Aug 2, 2004 Accepting new patients
Carlin Vision Surgery Center LLC PastSince Aug 16, 2010 Accepting new patients

Locations

2377 Lenora Church Rd
Snellville, GA 30078
Phone (770) 979-2020

2347 Lenora Church Rd
Snellville, GA 30078
Phone (678) 240-8674

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1255322665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 LENORA CHURCH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783232",
            "telephone_number": "740-979-2020",
            "fax_number": "770-978-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 LENORA CHURCH RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783232",
            "telephone_number": "740-979-2020",
            "fax_number": "770-978-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "055109",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "55109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344337980A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.