Individual provider Active NPI

Christine Shan-Shan Lin, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greensboro, NC
National Provider Identifier
1326209776
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2015-02362 Issued in NC
Practice address
706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7038
Phone
(336) 387-2500
NPI assigned
Jun 18, 2008
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD.205376 LA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 38412 SC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2015-02362 NC Primary

Addresses

Primary practice location

706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7038

Mailing address

706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7038
Phone (336) 387-2500

Other practice location 1

8170 Rourk St Ste 100
Myrtle Beach, SC 29572-4127
Phone (843) 449-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160415000533 NC Practitioner - Pathology 0446492185 Reassigns benefits to 1 organization
I20170106000278 SC Practitioner - Pathology 0446492185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Pathology, LLCGroup PAC ID 1153315643, 18 clinicians

Practice addresses (Care Compare)

706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7043
Phone (336) 387-2500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205376LAMDDermatopathology (Pathology) Physician
2015-02362NCMDAnatomic Pathology & Clinical Pathology Physician
38412SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Pathology, LLC Multi-Specialty CurrentSince Feb 4, 2016 Accepting new patients
Physicians Footcare, LLC Multi-Specialty CurrentSince Dec 1, 2016 Accepting new patients
Mid-Atlantic Pathology Services, Inc. Multi-Specialty CurrentSince Jul 1, 2012 Accepting new patients
Greensboro Pathology, LLC CurrentSince Feb 4, 2016 Accepting new patients
Waccamaw Dermatology, LLC Multi-Specialty CurrentSince May 15, 2023 Accepting new patients
Mark and Kambour MD PA Multi-Specialty Past Accepting new patients
Vascular Associates LLC Multi-Specialty Past Accepting new patients

Locations

706 Green Valley Rd
Ste 104
Greensboro, NC 27408
Phone (336) 271-4930

1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776

8170 Rourk St
Ste 100
Myrtle Beach, SC 29572
Phone (843) 282-1915

917 Medical Cir
Myrtle Beach, SC 29572

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

405 Glenn Dr
Ste 10A
Sterling, VA 20164
Phone (703) 404-8189

Organizations & group practices 8

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1326209776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 GREEN VALLEY RD",
            "address_2": "SUITE 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087038",
            "telephone_number": "336-387-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 GREEN VALLEY RD",
            "address_2": "SUITE 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087038",
            "telephone_number": "336-387-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8170 Rourk St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724127",
            "country_code": "US",
            "telephone_number": "843-449-0453",
            "fax_number": "843-449-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHRISTINE",
        "middle_name": "SHAN-SHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "LA",
            "license": "MD.205376",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "38412",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2015-02362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.