Individual provider Active NPI

Jamie O Lin, DO

  • Internal Medicine Physician
  • Rome, GA
National Provider Identifier
1366602153
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
062389 Issued in GA
Practice address
123 Three Rivers Dr NE
Rome, GA 30161-2300
Phone
(706) 295-3961
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 062389 GA
Internal Medicine Physician 207R00000X 062389 GA Primary

Addresses

Primary practice location

123 Three Rivers Dr NE
Rome, GA 30161-2300

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000

Other identifiers 1

IdentifierTypeStateIssuer
259849458CMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jlin@fmc.gwaydirect.com
Direct Messaging Address jlin913614@CarolinasHealthcareSystem.direct-ci.com

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
I20091021000186 GA Practitioner - Internal MedicinePractitioner - Family Practice 9032256268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

123 Three Rivers Nedr
Rome, GA 30161-2300
Phone (706) 295-3961

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-4340

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
062389GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, P.C. CurrentSince Sep 10, 2017 Accepting new patients
24 On Physicians, PC CurrentSince Sep 10, 2017 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jan 1, 2013 Accepting new patients
Floyd Healthcare Management Inc Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients
Floyd Healthcare Management Inc Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

330 Turner McCall Blvd SW
Ste 107
Rome, GA 30165
Phone (706) 509-6439

123 Three Rivers Dr NE
Rome, GA 30161
Phone (706) 295-3961

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

304 Shorter Ave NW
Ste 201
Rome, GA 30165
Phone (706) 509-3300

Interoperability endpoints

  • Direct secure messaging: jlin913614@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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 1

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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1366602153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301612300",
            "telephone_number": "706-295-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JAMIE",
        "middle_name": "O",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "062389",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "062389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259849458C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlin@fmc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "123 Three Rivers Dr NE",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301612300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlin913614@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "123 Three Rivers Dr NE",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301612300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.