Jeffrey Scott Lim, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

91011 Issued in GA

Practice address

6470 E Johns Xing Ste 160
Johns Creek, GA 30097-1500

Phone

(941) 286-2542

NPI assigned

Apr 18, 2017

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jlim206197@direct.metrohealth.org

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.

• The Metrohealth System

  dba Metrohealth Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• Ivy League Pediatrics

  • Pediatrics Physician
  • Lawrenceville, GA
  • NPI 1386928943
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1639603525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 E JOHNS XING STE 160",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971500",
            "telephone_number": "941-286-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 E JOHNS XING STE 160",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971500",
            "telephone_number": "941-286-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Old Norcross Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464315",
            "country_code": "US",
            "telephone_number": "678-407-4489",
            "fax_number": "770-821-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "34.014583",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "91011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lemus
• Melissa E Leray, AA
• Sidney Li, DDS
• William Jay Lichtenfeld, M.D.
• Lily's Pharmacy, LLC
• Valerie C Lin
• Cara Lindell
• Amy E Lingenfelter, NURSE PRACTITIONER
• Bailey Little, APC
• Ashley Nichole Lock, DPT

• Pediatrics Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.

Verify at the official NPI Registry.