Organization Active NPI

Amy XJ Lin, LLC

Doing business as Healthyu Internal Medicine

  • Specialist
  • Berkeley Lake, GA
National Provider Identifier
1508266388
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
060560 Issued in GA
Legal business name
AMY XJ LIN, LLC
Doing business as
Healthyu Internal Medicine
Practice address
4720 Peachtree Industrial Blvd
Suite 202
Berkeley Lake, GA 30071-5735
Phone
(770) 454-9047
Fax
(770) 457-6311
NPI assigned
Aug 28, 2014
Last updated
Sep 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Amy Lin, MD
Title
Physician
Phone
(770) 569-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 060560 GA Primary

Addresses

Primary practice location

4720 Peachtree Industrial Blvd
Suite 202
Berkeley Lake, GA 30071-5735

Mailing address

4720 Peachtree Industrial Blvd
Suite 202
Berkeley Lake, GA 30071-5735

Other names 1

  • HEALTHYU INTERNAL MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

4720 Peachtree Industrial Blvd
Berkeley Lake, GA 30071
Phone (404) 900-9583

4720 Peachtree Industrial Blvd
Ste 202
Berkeley Lake, GA 30071
Phone (770) 454-9047

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1508266388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 202",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300715735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 202",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300715735",
            "telephone_number": "770-454-9047",
            "fax_number": "770-457-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY XJ LIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-569-3988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "060560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHYU INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley Lake, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.