Individual provider Active NPI

Joseph Stephen Palin, M.D.

  • Gastroenterology Physician
  • Carrollton, GA
National Provider Identifier
1568442952
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
025006 Issued in GA
Practice address
214 E Ward St
Carrollton, GA 30117-3114
Phone
(770) 836-1011
Fax
(770) 836-1049
NPI assigned
Jan 20, 2006
Last updated
Sep 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 025006 GA Primary

Addresses

Primary practice location

214 E Ward St
Carrollton, GA 30117-3114

Mailing address

214 E Ward St
Carrollton, GA 30117-3114
Phone (770) 836-1011

Other identifiers 1

IdentifierTypeStateIssuer
000264756AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph S. Palin, M.D. Gastroenterology PastSince Jun 14, 1983 Accepting new patients
Joseph S. Palin, M.D. Gastroenterology PastSince Jun 14, 1983 Accepting new patients

Organizations & group practices 2

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1568442952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E WARD ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173114",
            "telephone_number": "770-836-1011",
            "fax_number": "770-836-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E WARD ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173114",
            "telephone_number": "770-836-1011",
            "fax_number": "770-836-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALIN",
        "first_name": "JOSEPH",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "025006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000264756A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.