Active NPI
Christine Shan-Shan Lin, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2015-02362
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.205376 | LA | MD | Dermatopathology (Pathology) Physician |
| 2015-02362 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
| 38412 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Pathology, LLC | Multi-Specialty | Current | Accepting new patients |
| Physicians Footcare, LLC | Multi-Specialty | Current | Accepting new patients |
| Mid-Atlantic Pathology Services, Inc. | Multi-Specialty | Current | Accepting new patients |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Waccamaw Dermatology, LLC | Multi-Specialty | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Columbia, SC
- NPI 1194909556
Multi-Specialty
-
- Dermatopathology Physician
- Myrtle Beach, SC
- NPI 1215575238
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
- Clinical Medical Laboratory
- McLean, VA
- NPI 1245302009
Multi-Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Miami Lakes, FL
- NPI 1760456172
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.