Individual provider Active NPI

Linh Nguyen O'Connor, MD

  • Surgery Physician
  • Columbus, GA
National Provider Identifier
1609940287
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
111530 Issued in GA
Practice address
920 18TH St
Columbus, GA 31901-1524
Phone
(706) 649-6600
NPI assigned
Nov 17, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 111530 GA Primary
Surgery Physician 208600000X 036093594 IL
Surgery Physician 208600000X 2017-01424 NC

Addresses

Primary practice location

920 18TH St
Columbus, GA 31901-1524

Mailing address

920 18TH St
Columbus, GA 31901-1524

Other practice location 1

Corner of Routes N12 & N7
Fort Defiance, AZ 86504
Phone (928) 729-8000

Other practice location 2

2555 Court Dr Ste 450
Gastonia, NC 28054-2191
Phone (704) 671-7652

Other practice location 3

303 E Army Trail Rd
Ste 304
Bloomingdale, IL 60108-2169
Phone (630) 856-8677

Other identifiers 2

IdentifierTypeStateIssuer
036093594MedicaidIL
400280OtherILGROUP MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171103000266 NC Practitioner - General Surgery 0648206185 Reassigns benefits to 1 organization
I20260203003836 TX Practitioner - General Surgery 0648206185 Reassigns benefits to 1 organization
I20260513001003 GA Practitioner - General Surgery 0648206185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Surgery Current Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 12, 2026 Accepting new patients
Caromont Medical Group, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Caromont Medical Group Inc CurrentSince Aug 1, 2017 Accepting new patients
Surgeons LTD Surgery Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients
Rama R Dandamudi MD SC Surgery Past Accepting new patients

Locations

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

Organizations & group practices 9

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.

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1609940287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 18TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 18TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011524",
            "telephone_number": "706-649-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Corner of Routes N12 & N7",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "928-729-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 Court Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542191",
            "country_code": "US",
            "telephone_number": "704-671-7652",
            "fax_number": "704-671-7656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 E Army Trail Rd",
            "address_2": "Ste 304",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601082169",
            "country_code": "US",
            "telephone_number": "630-856-8677",
            "fax_number": "630-856-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "LINH",
        "middle_name": "NGUYEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "111530",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036093594",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2017-01424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093594",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "400280",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.