Active NPI
Gerald Lim, MD
- Internal Medicine Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00020811
- Practice address
- 1725 Pine St
Montgomery, AL 36106-1109 - Phone
- (334) 293-8067
- Fax
- (334) 293-8105
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00020811 | AL | Primary |
Addresses
Primary practice location
1725 Pine St
Montgomery, AL 36106-1109
Mailing address
6133 Henley Hedge CT
Montgomery, AL 36117-2622
Phone (334) 270-0316
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009934548 | Medicaid | AL | |
| 51531860 | Other | AL | BCBS |
| P00297025 | Other | AL | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020811 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital and Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Jackson Hospital and Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Apogee Medical Group Alabama Inc | Internal Medicine | Past | Accepting new patients |
| Jackson Hospital & Clinic, Inc. | Past | Accepting new patients | |
| Jackson Montgomery Hospitalists, LLC | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
1758 Park Pl
Ste 300
Montgomery, AL 36106
Phone (334) 274-1204
2257 Taylor Rd
Ste 200
Montgomery, AL 36117
Phone (334) 270-9914
1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 7
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1407819014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6133 HENLEY HEDGE CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361172622",
"telephone_number": "334-270-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 PINE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061109",
"telephone_number": "334-293-8067",
"fax_number": "334-293-8105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "GERALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00020811",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009934548",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51531860",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00297025",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.