Individual provider Active NPI

Linwood William Zoller III, MD

  • Internal Medicine Physician
  • Gainesville, GA
National Provider Identifier
1578664371
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
028339 Issued in GA
Practice address
1700 Barber Rd
Gainesville, GA 30507-3318
Phone
(770) 531-6908
Fax
(770) 718-2320
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 028339 GA Primary

Addresses

Primary practice location

1700 Barber Rd
Gainesville, GA 30507-3318

Mailing address

4921 Rilla Rd
Gainesville, GA 30506-2759
Phone (706) 239-7859

Other practice location 1

4884 Price Rd
Gainesville, GA 30506-2545
Phone (770) 538-0001

Other identifiers 1

IdentifierTypeStateIssuer
000471578BMedicaidGA

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
I20240326000839 GA Order and Referring Only - General PracticePractitioner - General Practice 6406985852

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028339GAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1578664371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 RILLA RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305062759",
            "telephone_number": "706-239-7859",
            "fax_number": "770-718-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BARBER RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305073318",
            "telephone_number": "770-531-6908",
            "fax_number": "770-718-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4884 Price Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305062545",
            "country_code": "US",
            "telephone_number": "770-538-0001",
            "fax_number": "770-538-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "LINWOOD",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "028339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000471578B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.