Individual provider Active NPI

Linda Gin Yan, M.D.

  • Cardiovascular Disease Physician
  • Tucker, GA
National Provider Identifier
1306949854
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
054531 Issued in GA
Practice address
1468 Montreal Road
Tucker, GA 30084-6902
Phone
(770) 638-1400
Fax
(770) 638-1411
NPI assigned
Sep 7, 2006
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 054531 GA Primary

Addresses

Primary practice location

1468 Montreal Road
Tucker, GA 30084-6902

Mailing address

1468 Montreal Road
Tucker, GA 30084-6902
Phone (770) 638-1400

Other identifiers 1

IdentifierTypeStateIssuer
114665069AMedicaidGA

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
I20040826000442 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406821214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Heart Specialists LLCGroup PAC ID 9537134341, 21 clinicians

Practice addresses (Care Compare)

1468 Montreal Rd
Tucker, GA 30084-6901
Phone (770) 638-1400

1468 Montreal Rd
Tucker, GA 30084-6902

4120 Five Forks Trickum Rd SW
Suite 103
Lilburn, GA 30047-8975
Phone (770) 255-3491

4375 Johns Creek Pkwy
Suite 350
Suwanee, GA 30024-6087
Phone (770) 622-1622

771 Old Norcross Rd
Suite 310
Lawrenceville, GA 30046-4981
Phone (770) 513-5999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054531GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Medical Center, Inc. Current Accepting new patients
Atlanta Heart Specialists LLC Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients

Locations

2665 N Decatur Rd
Ste 320
Decatur, GA 30033
Phone (404) 292-1144

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2801 N Decatur Rd
Ste 395
Decatur, GA 30033
Phone (404) 298-2220

5910 Hillandale Dr
Ste 350
Lithonia, GA 30058
Phone (678) 578-8900

5667 Peachtree Dunwoody Rd
Ste 390
Sandy Springs, GA 30342
Phone (404) 250-4530

1468 Montreal Rd
Tucker, GA 30084
Phone (770) 638-1400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA
  • Direct secure messaging: linda.yan@ahs1468.eclinicaldirectplus.com
  • Direct secure messaging: linda.yan@ahsmed.gadirect.net
  • Direct secure messaging: linda.yan@gadirect.net

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

Hospital & facility affiliations 2

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1306949854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL ROAD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846902",
            "telephone_number": "770-638-1400",
            "fax_number": "770-638-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 MONTREAL ROAD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846902",
            "telephone_number": "770-638-1400",
            "fax_number": "770-638-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "LINDA",
        "middle_name": "GIN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "054531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114665069A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.